Abstract
Fascioliasis is a zoonotic infection of herbiviores, occasionally affecting humans who ingest fresh water plants. We report a case of a young woman who presented to our center with vague abdominal discomfort & discovered on abdominal ultrasound to have gall stones & dilated common bile duct. She was scheduled for ERCP which revealed a large number of fasciola worms draining from the common bile duct to the duodenum.
Highlights
Fascioliasis is a zoonotic infection of the liver & biliary tract & sometimes affecting ectopic sites distant from the hepatobilairy system during the migration of the larva from the intestine towards its final distination namely the bilaiary tract
Even during the chronic biliary phase the diagnosis is frequently done during ERCP or even surgery
Experienced abdominal & endoscopic sonographists can diagnose the infection if they observe moving objects in the gall bladder or common bile duct during their search for hepatobilairy pathologies & frequebtly they are gaining experience in that respect [2,3]
Summary
Fascioliasis is a zoonotic infection of the liver & biliary tract & sometimes affecting ectopic sites distant from the hepatobilairy system during the migration of the larva from the intestine towards its final distination namely the bilaiary tract. The diagnosis of the disease is very difficult during the acute hepatic parachymal phase & ectopic phase [1]. Even during the chronic biliary phase the diagnosis is frequently done during ERCP or even surgery. Making things more difficult that biliary faciolosis can mimic & can cause common causes of biliary obstruction namely cholelithiais & cholangiocarcinoma. Experienced abdominal & endoscopic sonographists can diagnose the infection if they observe moving objects in the gall bladder or common bile duct during their search for hepatobilairy pathologies & frequebtly they are gaining experience in that respect [2,3]
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