Diagnosis and Treatment of Fasciola Infection with Endoscopic Retrograde Cholangiopancreatography (ERCP) in Ardabil, Northwest of Iran: Two Case Reports

Shabnam  Asfaram; Behnam  Sajedi; Behnam  Mohammadi-Ghalehbin

doi:10.18502/ijpa.v19i2.15861

Shabnam Asfaram Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
Behnam Sajedi Department of Internal Medicine, School of Medicine, Imam Khomeini Hospital, Ardabil University of Medical Sciences, Ardabil, Iran
Behnam Mohammadi-Ghalehbin Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran

DOI: https://doi.org/10.18502/ijpa.v19i2.15861

Keywords: Fasciola sp.; Endoscopic retrograde cholangiopancreatography; Iran

Abstract

Here we report biliary fascioliasis in two women 27 and 54 years old from Ardabil Province, Iran who presented with nausea, anorexia, weight loss, and pain between shoulder blades. Endoscopic ultrasound showed distal common bile duct strictures (CBD) and a lesion in its proximal. Endoscopic retrograde cholangiopancreatography (ERCP) was performed and live parasites were diagnosed and successfully managed into the duodenal lumen. The clinical findings of the patient improved after the procedure. This report emphasizes that the prevalence of Fasciola in Ardabil is predictable and this infection could be simultaneously diagnosed and treated by the ERCP.