TY - JOUR AU - Ton Nu, Phuong Anh AU - Ngo, Thi Minh Chau AU - Nguyen Phuoc, Vinh AU - Dang Nhu, Thanh AU - Do Ngoc, Anh AU - Cao, Le Chi PY - 2022/10/31 Y2 - 2024/03/28 TI - Biliary fascioliasis – A rare differential diagnosis of biliary obstruction JF - The Journal of Infection in Developing Countries JA - J Infect Dev Ctries VL - 16 IS - 10 SE - Case Reports DO - 10.3855/jidc.16037 UR - https://jidc.org/index.php/journal/article/view/36332224 SP - 1664-1667 AB - <p>Fascioliasis is a zoonotic disease caused by <em>Fasciola hepatica</em> or <em>F. gigantica</em>. There are two phases of <em>Fasciola</em> infection. In the acute phase, the patient has a wide spectrum of clinical manifestations while the later phase of infection is usually related to inflammatory changes in the bile duct and the mechanical effects of the worm, which can lead to biliary obstruction. The presence of <em>Fasciola</em> inside the biliary system has rarely been reported in the literature. In this report, we presented a case of bile duct obstruction in a 36-year-old male patient undergoing cholecystectomy for gallstones and with a history of worsening jaundice for one month. Extensive laboratory testing failed to clarify the cause of jaundice. Three living liver flukes were subsequently retrieved from the right hepatic duct and later confirmed as <em>F. gigantica</em> by morphology and internal transcribed spacer (ITS2) sequence analysis.</p> ER -