Fasciola hepatica infestation as a very rare cause of extrahepatic cholestasis.

Ahmet Dobrucali, Rafet Yigitbasi, Yusuf Erzin, Oguzhan Sunamak, Erdal Polat, Hakan Yakar

Index: World J. Gastroenterol. 10(20) , 3076-7, (2004)

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Abstract

Fasciola hepatica, an endemic parasite in Turkey, is still a very rare cause of cholestasis worldwide. Through ingestion of contaminated water plants like watercress, humans can become the definitive host of this parasite. Cholestatic symptoms may be sudden but in some cases they may be preceded by a long period of fever, eosinophilia and vague gastrointestinal symptoms. We report a woman with cholangitis symptoms of sudden onset which was proved to be due to Fasciola hepatica infestation by an endoscopic retrograde cholangiography.