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Sporadic incidence of Fascioliasis detected during Hepatobiliary procedures: A study of 18 patients from Sulaimaniyah governorate

BACKGROUND: Fascioliasis is an often-neglected zoonotic disease and currently is an emerging infection in Iraq. Fascioliasis has two distinct phases, an acute phase, exhibiting the hepatic migratory stage of the fluke’s life cycle, and a chronic biliary phase manifested with the presence of the para...

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Autores principales: Hawramy, Tahir Abdullah Hussein, Saeed, Kamal Ahmed, Qaradaghy, Seerwan Hama Sharif, Karboli, Taha Ahmed, Nore, Beston Faiek, Bayati, Noora Hisham Abood
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3568712/
https://www.ncbi.nlm.nih.gov/pubmed/23259859
http://dx.doi.org/10.1186/1756-0500-5-691
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author Hawramy, Tahir Abdullah Hussein
Saeed, Kamal Ahmed
Qaradaghy, Seerwan Hama Sharif
Karboli, Taha Ahmed
Nore, Beston Faiek
Bayati, Noora Hisham Abood
author_facet Hawramy, Tahir Abdullah Hussein
Saeed, Kamal Ahmed
Qaradaghy, Seerwan Hama Sharif
Karboli, Taha Ahmed
Nore, Beston Faiek
Bayati, Noora Hisham Abood
author_sort Hawramy, Tahir Abdullah Hussein
collection PubMed
description BACKGROUND: Fascioliasis is an often-neglected zoonotic disease and currently is an emerging infection in Iraq. Fascioliasis has two distinct phases, an acute phase, exhibiting the hepatic migratory stage of the fluke’s life cycle, and a chronic biliary phase manifested with the presence of the parasite in the bile ducts through hepatic tissue. The incidence of Fascioliasis in Sulaimaniyah governorate was unexpected observation. We believe that shedding light on this disease in our locality will increase our physician awareness and experience in early detection, treatment in order to avoid unnecessary surgeries. FINDINGS: We retrospectively evaluated this disease in terms of the demographic features, clinical presentations, and managements by reviewing the medical records of 18 patients, who were admitted to the Sulaimani Teaching Hospital and Kurdistan Centre for Gastroenterology and Hepatology. Patients were complained from hepatobiliary and/or upper gastrointestinal symptoms and diagnosed accidentally with Fascioliasis during hepatobiliary surgeries and ERCP by direct visualization of the flukes and stone analysis. Elevated liver enzymes, white blood cells count and eosinophilia were notable laboratory indices. The dilated CBD, gallstones, liver cysts and abscess were found common in radiological images. Fascioliasis diagnosed during conventional surgical CBD exploration and choledochodoudenostomy, open cholecystectomy, surgical drainage of liver abscess, ERCP and during gallstone analysis. CONCLUSION: Fascioliasis is indeed an emerging disease in our locality, but it is often underestimated and ignored. We recommend the differential diagnosis of patients suffering from Rt. Hypochondrial pain, fever and eosinophilia. The watercress ingestion was a common factor in patient’s history.
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spelling pubmed-35687122013-02-12 Sporadic incidence of Fascioliasis detected during Hepatobiliary procedures: A study of 18 patients from Sulaimaniyah governorate Hawramy, Tahir Abdullah Hussein Saeed, Kamal Ahmed Qaradaghy, Seerwan Hama Sharif Karboli, Taha Ahmed Nore, Beston Faiek Bayati, Noora Hisham Abood BMC Res Notes Short Report BACKGROUND: Fascioliasis is an often-neglected zoonotic disease and currently is an emerging infection in Iraq. Fascioliasis has two distinct phases, an acute phase, exhibiting the hepatic migratory stage of the fluke’s life cycle, and a chronic biliary phase manifested with the presence of the parasite in the bile ducts through hepatic tissue. The incidence of Fascioliasis in Sulaimaniyah governorate was unexpected observation. We believe that shedding light on this disease in our locality will increase our physician awareness and experience in early detection, treatment in order to avoid unnecessary surgeries. FINDINGS: We retrospectively evaluated this disease in terms of the demographic features, clinical presentations, and managements by reviewing the medical records of 18 patients, who were admitted to the Sulaimani Teaching Hospital and Kurdistan Centre for Gastroenterology and Hepatology. Patients were complained from hepatobiliary and/or upper gastrointestinal symptoms and diagnosed accidentally with Fascioliasis during hepatobiliary surgeries and ERCP by direct visualization of the flukes and stone analysis. Elevated liver enzymes, white blood cells count and eosinophilia were notable laboratory indices. The dilated CBD, gallstones, liver cysts and abscess were found common in radiological images. Fascioliasis diagnosed during conventional surgical CBD exploration and choledochodoudenostomy, open cholecystectomy, surgical drainage of liver abscess, ERCP and during gallstone analysis. CONCLUSION: Fascioliasis is indeed an emerging disease in our locality, but it is often underestimated and ignored. We recommend the differential diagnosis of patients suffering from Rt. Hypochondrial pain, fever and eosinophilia. The watercress ingestion was a common factor in patient’s history. BioMed Central 2012-12-21 /pmc/articles/PMC3568712/ /pubmed/23259859 http://dx.doi.org/10.1186/1756-0500-5-691 Text en Copyright ©2012 Hawramy et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Short Report
Hawramy, Tahir Abdullah Hussein
Saeed, Kamal Ahmed
Qaradaghy, Seerwan Hama Sharif
Karboli, Taha Ahmed
Nore, Beston Faiek
Bayati, Noora Hisham Abood
Sporadic incidence of Fascioliasis detected during Hepatobiliary procedures: A study of 18 patients from Sulaimaniyah governorate
title Sporadic incidence of Fascioliasis detected during Hepatobiliary procedures: A study of 18 patients from Sulaimaniyah governorate
title_full Sporadic incidence of Fascioliasis detected during Hepatobiliary procedures: A study of 18 patients from Sulaimaniyah governorate
title_fullStr Sporadic incidence of Fascioliasis detected during Hepatobiliary procedures: A study of 18 patients from Sulaimaniyah governorate
title_full_unstemmed Sporadic incidence of Fascioliasis detected during Hepatobiliary procedures: A study of 18 patients from Sulaimaniyah governorate
title_short Sporadic incidence of Fascioliasis detected during Hepatobiliary procedures: A study of 18 patients from Sulaimaniyah governorate
title_sort sporadic incidence of fascioliasis detected during hepatobiliary procedures: a study of 18 patients from sulaimaniyah governorate
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3568712/
https://www.ncbi.nlm.nih.gov/pubmed/23259859
http://dx.doi.org/10.1186/1756-0500-5-691
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