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Gastroenterology Medicine & Research

Hepatobiliary Fascioliasis Presenting as Choledocholithiasis: A Case Report

  • Open or Close Terence O’Keeffe*

    Department of Surgery, University of Arizona, USA

    *Corresponding author: Terence O’Keeffe, MBChB, FACS, MSPH, Department of Surgery, Division of Trauma, Critical Care, Burns and Emergency Surgery, University of Arizona, 1501 N. Campbell Ave, Room.5411, P.O. Box 245063, Tucson, AZ 85727, USA

Submission: November 10, 2017 ; Published: May 09, 2018

DOI: 10.31031/GMR.2018.01.000516

ISSN 2637-7632
Volume1 Issue4


A 28 year-old Hispanic female who was 36 weeks pregnant presented to our hospital complaining of 2 days of intermittent right upper quadrant abdominal pain, nausea, and vomiting. She denied any fever, chills, jaundice, changes in her bowel pattern, or recent travel, and had no significant past medical or surgical history. Physical examination revealed a gravid abdomen with mild right upper quadrant tenderness on palpation. Liver function tests (LFTs) were abnormal on admission with an aspartate amino transferase level (AST) of 76 International Units/Liter (IU/L), alanine amino transferase (ALT) of 61IU/L, alkaline phosphatase (AlkPhos) of 226IU/L, total bilirubin (TB) of 1.9 milligrams/deciliter (mg/dL), and a direct bilirubin (DB) of 0.6mg/dl.

Keywords: Liver flukes; Fasciola hepatica; Biliary obstruction; Endoscopic retrograde cholangiopancreatography; Cholelithiasis; Cholecystectomy

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