PDF(Pubmed)
Abstract：
Fasciola hepatica is a trematode that is visible to the naked eye. The diagnosis can be made by serology or by clinical improvement and decrease of eosinophilia after triclabendazole treatment or by finding parasite eggs in the stool. Sometimes the diagnosis is possible during unnecessary surgery, laparoscopic cholecystectomy, and endoscopic retrograde cholangiopancreatography (ERCP). F. hepatica infection should be considered in patients with typical clinical findings; the elevation of liver enzymes indicating cholestasis, eosinophilia, and characteristic computed tomography (CT) or ultrasonography (USG) findings. Here, we presented a case with the preliminary diagnosis of choledocholithiasis and diagnosed with F. hepatica infection by ERCP procedure.
摘要：
肝片吸虫是一种肉眼可见的吸虫。诊断可以通过血清学或通过三氯苯多唑治疗后临床改善和减少嗜酸性粒细胞增多或通过在粪便中发现寄生虫卵进行。有时在不必要的手术中诊断是可能的，腹腔镜胆囊切除术,和内镜逆行胰胆管造影术（ERCP）。有典型临床表现的患者应考虑肝感染；肝酶升高表明胆汁淤积，嗜酸性粒细胞增多,和特征性计算机断层扫描（CT）或超声检查（USG）发现。这里,我们介绍了1例胆总管结石的初步诊断，并通过ERCP程序诊断为肝F.
