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Korean J Med > Volume 88(2); 2015 > Article
The Korean Journal of Medicine 2015;88(2): 187-191.
총 간관 종양으로 오인된 간질 1예
박수영, 최정식, 오태선, 강혜림, 정재현, 김영구, 김종윤
인제대학교 의과대학 부산백병원 소화기내과
A Case of Biliary Fascioliasis Mimicking Neoplasia of the Common Hepatic Duct
Su-Young Park, Jung-Sik Choi, Tae-Seon Oh, Hye-Rim Kang, Jae-Hyun Jung, Young-Gu Kim, Jong-Yoon Kim
Division of Gastroenterology, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
Corresponding Author: Jung-Sik Choi ,Tel: +82-51-890-6270, Fax: +82-51-892-0273, Email: cwj1225@naver.com
Received: 2014. 4. 29;  Accepted: 2014. 8. 12.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Fascioliasis is a rare zoonotic disease caused by Fasciola hepatica, the liver fluke. Humans can become accidental hosts of this parasite by ingesting contaminated drinking water or plants containing viable metacercariae. There are two disease stages: the hepatic (acute) and biliary (chronic) stages. The biliary stage of this zoonotic infection is often misdiagnosed because the symptoms are subclinical, with intermittent cholangitis as the only sign. Endoscopic retrograde cholangiopancreatography (ERCP) has been described in the diagnosis of a few cases of fascioliasis. We used this modality to diagnose biliary fascioliasis in a 39-year-old woman with chronic hepatitis B who had intermittent abdominal pain for three years with irregular wall thickening and luminal narrowing of the common hepatic duct (CHD), which resembled neoplasia of the CHD. Following the correct diagnosis, the adult worm was removed using endoluminal forceps via endoscopic sphincterotomy. This case report confirms the diagnostic and therapeutic value of ERCP in patients with biliary fascioliasis that may mimic neoplasia of the CHD.
Keywords: Fascioliasis; Common hepatic duct; Endoscopic retrograde cholangiopancreatography
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