Endoscopic Removal of One Live Biliary Fasciola gigantica
Wasana Kanoksil MD*, Duangkamon Wattanatranon MD*, Chumpon Wilasrusmee MD**, Somkit Mingphruedh MD**, Sukhum Bunyaratvej MD*
Affiliation : * Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University ** Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Biliary fascioliasis was diagnosed in a woman from Angthong province, who presented herself with anorexia, weight loss, and jaundice for one month. Intraoperative retrograded cholangiopancreatography revealed a filling defect considered as a stone and bile sludge. By the sphincterotomy and balloon-extraction technique, one live fluke was removed and identified as Fasciola gigantica. A single dose of praziquantel, 25 mg/kg of body weight/day, was given although the postoperative stool examination revealed no Fasciola spp. egg. The patient was doing well after the fluke removal. According to a previous review, in this country, Ayutthaya is the southernmost province for the distribution of fascioliasis.
Keywords : Fasciola gigantica, Fasciola hepatica, Hepatic fascioliasis, Biliary fascioliasi
