Case Report
Copyright ©The Author(s) 2004. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 15, 2004; 10(20): 3076-3077
Published online Oct 15, 2004. doi: 10.3748/wjg.v10.i20.3076
Fasciola hepatica infestation as a very rare cause of extrahepatic cholestasis
Ahmet Dobrucali, Rafet Yigitbasi, Yusuf Erzin, Oguzhan Sunamak, Erdal Polat, Hakan Yakar
Ahmet Dobrucali, Yusuf Erzin, Division of Gastroenterology, Cerrahpasa Medical Faculty, Istanbul University, Turkey
Rafet Yigitbasi, Oguzhan Sunamak, Division of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Turkey
Erdal Polat, Hakan Yakar, Division of Microbiology and Parasitology, Cerrahpasa Medical Faculty, Istanbul University, Turkey
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Yusuf Erzin, Hurriyet Cad. 9/1, 34 810 Florya-Istanbul, Turkey.
Telephone: +90-532-2655008 Fax: +90-212-5307440
Received: January 2, 2004
Revised: January 18, 2004
Accepted: January 17, 2004
Published online: October 15, 2004

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 preceeded 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.

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