Obstructive Jaundice Caused by Clonorchiasis-associated Duodenal Papillitis: A Case Report
Journal of Korean Medical Science
;
: 135-137, 2011.
Artículo
en Inglés
| WPRIM
| ID: wpr-211269
ABSTRACT
We describe an unusual presentation of Clonorchis sinensis infection with obstructive jaundice due to duodenal papillitis which was relieved dramatically by endoscopic sphincterotomy. A 26-yr-old male presented with complaints of fatigue, weight loss and painless jaundice. The history was significant for frequent ingestion of raw freshwater fish. The patient underwent endoscopic retrograde cholangiopancreatography for evaluation of obstructive jaundice. The duodenal papilla was markedly edematous with a bulging configuration and hyperemic changes at the orifice. Cholangiography revealed mild bile duct dilatation and irregular wall changes with multiple indentations. However, there were no biliary stricture or stones noted as the cause of obstructive jaundice. We performed an endoscopic sphincterotomy for effective bile drainage through the duodenal papilla. After the sphincterotomy, the patient's jaundice was dramatically improved. Pathology of the duodenal papilla showed eosinophilic infiltration of the mucosa. Parasitic eggs, consistent with the diagnosis of C. sinensis, were found in the bile sample.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Praziquantel
/
Ampolla Hepatopancreática
/
Bilis
/
Tomografía Computarizada por Rayos X
/
Colangitis
/
Colangiopancreatografia Retrógrada Endoscópica
/
Esfinterotomía Endoscópica
/
Clonorquiasis
/
Clonorchis sinensis
/
Ictericia Obstructiva
Límite:
Animales
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Journal of Korean Medical Science
Año:
2011
Tipo del documento:
Artículo
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