Servicio de Microbiología, Complejo de Asistencia Universitario de León, España.
Microbiología, Medicina Preventiva y Salud Pública, Universidad de Zaragoza. Facultad de Medicina, España.
Rev Esp Enferm Dig. 2019 Feb;111(2):165-166. doi: 10.17235/reed.2018.5827/2018.
We present the case of a patient with colic pain in the epigastrium and right hypochondrium, which was accompanied by choluria and acholia and slightly elevated levels of bilirubin and eosinophilia. Abdominal echography and magnetic resonance imaging identified a biliary obstruction and endoscopic retrograde cholangiopancreatography was used to extract 3 adult worms identified as Fasciola hepatica. This case highlights the need to consider the suspicion of biliary obstruction caused by Fasciola hepatica in the presence of obstructive jaundice, with or without eosinophilia.
我们报告了一例右上腹痛伴胆绞痛、胆少、胆红素轻度升高和嗜酸性粒细胞增多的患者。腹部超声和磁共振成像发现胆道梗阻，经内镜逆行胰胆管造影术提取出 3 条成虫，鉴定为肝片形吸虫。本病例强调了在存在阻塞性黄疸时，无论是否伴有嗜酸性粒细胞增多，都需要考虑肝片形吸虫引起的胆道阻塞的可能性。
