Diagnosis and Treatment of Fasciola Infection with Endoscopic Retrograde Cholangiopancreatography (ERCP) in Ardabil, Northwest of Iran: Two Case Reports
Abstract
Here we report biliary fascioliasis in two women 27 and 54 years old from Ardabil Province, Iran who presented with nausea, anorexia, weight loss, and pain between shoulder blades. Endoscopic ultrasound showed distal common bile duct strictures (CBD) and a lesion in its proximal. Endoscopic retrograde cholangiopancreatography (ERCP) was performed and live parasites were diagnosed and successfully managed into the duodenal lumen. The clinical findings of the patient improved after the procedure. This report emphasizes that the prevalence of Fasciola in Ardabil is predictable and this infection could be simultaneously diagnosed and treated by the ERCP.
1. Mas-Coma S, Agramunt VH, Valero MA. Neurological and ocular fascioliasis in humans. Adv Parasitol. 2014;84:27-149.
2. Toet H, Piedrafita DM, Spithill TW. Liver fluke vaccines in ruminants: strategies, progress, and future opportunities. Int J Parasitol. 2014; 44(12):915-27.
3. Niknam R, Kazemi MH, Mahmoudi L. Three living Fasciola hepatica in the biliary tract of a woman. Iran J Med Sci. 2015;40(5):465-8.
4. Bafandeh Y, Daghestani D, Rad S. Biliary tract obstruction due to Fasciola hepatica managed by ERCP. Iran J Med Sci. 2003; 28(1):43-45.
5. Mohammadi Ghalehbin B, Chinifroush-Asl MM, Feizi I. Choledochal duct obstruction in human by Fasciola hepatica (case report). 1st international and 8th National Congress of Parasitology and Parasitic Diseases in Iran Kerman, 16-18 October 2012.
6. Mohammadi-Ghalehbin B, Chinifroush-Asl MM, Ramzi F. Extra-hepatic fascioliasis with peritoneal malignancy tumor feature. J Parasit Dis. 2012;36:78-80.
7. Mine T, Morizane T, Kawaguchi Y, Akashi R, Hanada K, Ito T, Kanno A, Kida M, Miyagawa H, Yamaguchi T, Mayumi T. Clinical practice guideline for post-ERCP pancreatitis. J Gastroenterol. 2017;52:1013-22.
8. Gulsenn M, Savas MC, Koruk M, Kadayıfci A, Demirci F: Fascioliasis: a report of five cases presenting with common bile duct obstruction. Neth J Med. 2006;64:17-9.
9. Kaya M, Bestas R, Cetin S: Clinical presentation and management of Fasciola hepatica infection: single center experience. World J Gastroenterol. 2011;17:4899-904.
10. Rojas CA, Jex AR, Gasser RB, Scheerlinck JP. Techniques for the diagnosis of Fasciola infections in animals: room for improvement. Adv Parasitol. 2014;85:65-107.
11. Ozer B, Serin E, Gümürdülü Y, Gür G, Yilmaz U, Boyacioglu S. Endoscopic extraction of living Fasciola hepatica: case report and literature review. Turk J Gastroenterol.2003; 14:74-7.
12. Agin M, Kayar Y, Dertli R. Diagnosis and Treatment of Fasciola Hepatica With Endoscopic Retrograde Cholangiopancreatography in a Child Patient: Case Report. Cureus.2020; 12(9):e10486.
13. Mannstadt M, Sing A, Leitritz L, et al: Conservative management of biliary obstruction due to Fasciola hepatica. Clin Infect Dis. 2000; 31(5):1301-3.
14. Aminian K, Rezayat KA, Shafaghi A, Tanhaeevash R. Living Fasciola hepatica in biliary tree: a case report. Ann Hepatol. 2012;11(3):395-8.
2. Toet H, Piedrafita DM, Spithill TW. Liver fluke vaccines in ruminants: strategies, progress, and future opportunities. Int J Parasitol. 2014; 44(12):915-27.
3. Niknam R, Kazemi MH, Mahmoudi L. Three living Fasciola hepatica in the biliary tract of a woman. Iran J Med Sci. 2015;40(5):465-8.
4. Bafandeh Y, Daghestani D, Rad S. Biliary tract obstruction due to Fasciola hepatica managed by ERCP. Iran J Med Sci. 2003; 28(1):43-45.
5. Mohammadi Ghalehbin B, Chinifroush-Asl MM, Feizi I. Choledochal duct obstruction in human by Fasciola hepatica (case report). 1st international and 8th National Congress of Parasitology and Parasitic Diseases in Iran Kerman, 16-18 October 2012.
6. Mohammadi-Ghalehbin B, Chinifroush-Asl MM, Ramzi F. Extra-hepatic fascioliasis with peritoneal malignancy tumor feature. J Parasit Dis. 2012;36:78-80.
7. Mine T, Morizane T, Kawaguchi Y, Akashi R, Hanada K, Ito T, Kanno A, Kida M, Miyagawa H, Yamaguchi T, Mayumi T. Clinical practice guideline for post-ERCP pancreatitis. J Gastroenterol. 2017;52:1013-22.
8. Gulsenn M, Savas MC, Koruk M, Kadayıfci A, Demirci F: Fascioliasis: a report of five cases presenting with common bile duct obstruction. Neth J Med. 2006;64:17-9.
9. Kaya M, Bestas R, Cetin S: Clinical presentation and management of Fasciola hepatica infection: single center experience. World J Gastroenterol. 2011;17:4899-904.
10. Rojas CA, Jex AR, Gasser RB, Scheerlinck JP. Techniques for the diagnosis of Fasciola infections in animals: room for improvement. Adv Parasitol. 2014;85:65-107.
11. Ozer B, Serin E, Gümürdülü Y, Gür G, Yilmaz U, Boyacioglu S. Endoscopic extraction of living Fasciola hepatica: case report and literature review. Turk J Gastroenterol.2003; 14:74-7.
12. Agin M, Kayar Y, Dertli R. Diagnosis and Treatment of Fasciola Hepatica With Endoscopic Retrograde Cholangiopancreatography in a Child Patient: Case Report. Cureus.2020; 12(9):e10486.
13. Mannstadt M, Sing A, Leitritz L, et al: Conservative management of biliary obstruction due to Fasciola hepatica. Clin Infect Dis. 2000; 31(5):1301-3.
14. Aminian K, Rezayat KA, Shafaghi A, Tanhaeevash R. Living Fasciola hepatica in biliary tree: a case report. Ann Hepatol. 2012;11(3):395-8.
| Files | ||
| Issue | Vol 19 No 2 (2024) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/ijpa.v19i2.15861 | |
| Keywords | ||
| Fasciola sp. Endoscopic retrograde cholangiopancreatography Iran | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Asfaram S, Sajedi B, Mohammadi-Ghalehbin B. Diagnosis and Treatment of Fasciola Infection with Endoscopic Retrograde Cholangiopancreatography (ERCP) in Ardabil, Northwest of Iran: Two Case Reports. Iran J Parasitol. 2024;19(2):255-259.
