A Stranger In The Main Bile Duct: Fasciola Hepatica The Extraction By Ercp

Fasciola hepatica (FH) is a parasitical disease mostly concerns the veterinary medicine but sometimes accidentally infests humans. It’s generally seen in some parts of the world especially in tropical and developing countries but the incidence is increasing day by day all over the world due to increased facility of intercontinental transportation and immigration. Liver and biliary tree is the final target site for the parasite. The clinical presentation varies from basic biliary colic to jaundice and even complicated cholangitis leading death. Low level of knowledge about the disease, especially in the non-endemic areas, leads delayed diagnosis and therapy. Prompt evaluation and therapy of the patient is the corner stone of the success. Herein, we discuss a case of biliary obstruction due to FH from presentation to therapy including ERCP and cholecystectomy in the guidance of the literature.