Issue: 2006 > January > original article

Fascioliasis: a report of five cases presenting with common bile duct obstruction

M. Gulsen, M.C. Savas, M. Koruk, A. Kadayifci, F. Demirci


Fascioliasis is a zoonotic infection caused by <i>Fasciola
hepatica</i>. It is rarely seen with icterus caused by obstruction of the common bile duct. We report five patients with obstructive jaundice due to <i>Fasciola
hepatica</i>, who were diagnosed and managed with endoscopic retrograde cholangiopancreatography (ERCP). All cases were admitted to hospital with complaints of icterus and pain in the right upper quadrant of the abdomen; their biochemical values
were interpreted as obstructive jaundice. Ultrasound and
computer tomography (CT) revealed biliary dilatation in the common bile duct, but did not help to clarify the differential diagnosis. ERCP showed the presence of <i>Fasciola hepatica</i> in the common bile duct. After removing the flukes, the symptoms disappeared and the
biochemical values returned to normal. Biliary fascioliasis
should be considered in the differential diagnosis of
obstructive jaundice. This report confirms the diagnostic
and therapeutic role of ERCP in patients with obstructive
jaundice caused by biliary fascioliasis.