Endoscopic removal of one live biliary Fasciola gigantica
Kanoksil, W.; Wattanatranon, D.; Wilasrusmee, C.; Mingphruedh, S.; Bunyaratvej, S.
Journal of the Medical Association of Thailand 89(12): 2150-2154
2006
ISSN/ISBN: 0125-2208 PMID: 17214071 Document Number: 8856
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.
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