Bile aspiration enhances the diagnostic accuracy of Clonorchis sinensis: A case report

ADVANCES IN DIGESTIVE MEDICINE - Tập 3 - Trang 203-206 - 2016
Te-Fu Lin1, Hoi-Hung Chan1,2,3, Ping-I Hsu1,2, Tzung-Jiun Tsai1, E-Ming Wang1,3, Kwok-Hung Lai1,2, Jin-Shiung Cheng1,2, Huay-Min Wang1,2
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
2School of Medicine, National Yang-Ming University, Taipei, Taiwan
3Department of Biological Sciences, National Sun Yat-sen University, Kaohsiung, Taiwan

Tóm tắt

AbstractClonorchis sinensis is endemic to Southeast Asia, Japan, China, and Taiwan. Those infected often have a history of consumption of raw fresh fish. Its manifestations can be asymptomatic of cholangitis, biliary stones, or cholangiocarcinoma. A 69‐year‐old male living in Chishan, Taiwan visited our hospital with obstructive jaundice. Noninvasive analyses, such as stool examination, abdominal ultrasound, and an abdominal computed tomography scan did not reveal clues of clonorchiasis. As the obstructive jaundice was unexplained, endoscopic retrograde cholangiopancreatography (ERCP) was then performed and a hepatic fluke was seen via aspiration of bile. Subsequently, the ova of C. sinensis were detected via microscopic examination of bile samples. Bile aspiration is not routine during an ERCP procedure; however, we suggest the bile aspiration can be diagnostically accurate for clonorchiasis, especially for patients with a suspicious infection.

Tài liệu tham khảo

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ADVANCES IN DIGESTIVE MEDICINE

Tập 3

203-206

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