(Journal Article): Fascioliasis: An Exceptional Cause of Acute Pancreatitis
 
Echenique-Elizondo M, Amondarain J, Lire Robles C (Department of Surgery, Basque Country University School of Medicine. San Sebastián, Spain, gepecelm@sc.ehu.es )
 
IN: JOP. J Pancreas (Online) 2005; 06(1):36-39

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ABSTRACT: CONTEXT: Fasciola hepatica is known to cause bile duct inflammation and biliary obstruction but is rarely reported as responsible for producing acute pancreatitis. CASE REPORT: We report on a patient complaining of acute pancreatitis. Endoscopic retrograde cholangio-pancreatography showed distinct features and sphincterotomy allowed extraction of multiple parasites. CONCLUSIONS: Pancreatitis may occur in some patients with fascioliasis, but the condition may be overlooked in chronic cases. Endoscopic retrograde cholangio-pancreatography rule out other possible causes of irregularity and thickening of the common bile duct wall. Parasite removal during endoscopic retrograde cholangio-pancreatography is one therapeutic option. Hepatic involvement must be ruled out and complete pharmacological treatment is advised in this patient.

TYPE OF PUBLICATION: Case Report