Zusammenfassung
Fasziola hepatica ist ein Trematode mit geringer Humanpathogenität. In symptomatischen
Fällen werden Leberparenchymschäden, akute Cholezystits und Gallengangsobstruktionen
beschrieben, während eine akute Pankreatitis nur selten vorkommt. In der Regel wird
die Erkrankung medikamentös behandelt. Es gibt keine Standards für ein mögliches chirurgisches
Vorgehen. Wir berichten hier über eine Pankreatitis als seltene Komplikation einer
F. hepatica bedingten Gallengangsobstruktion. Falls in diesen Fällen eine Operation
durchgeführt wird, ist die externe Galleableitung zum Monitoring des Ansprechens auf
eine Therapie ratsam.
Abstract
Fasciola hepatica is a trematode rarely causing disease in humans. In symptomatic
cases, while various pathologies such as damage to liver parenchyma, acute cholecystitis,
and obstructive jaundice can be seen, the development of pancreatitis is rarely mentioned
in the literature. The treatment of the disease is medical. In cases where no definite
diagnosis can be made or in incidental cases where common bile duct exploration is
being done, F. hepatica can be detected accidentally during operation. No consensus
has yet been reached on the surgical procedure to be applied in this condition. We
report on our case due to the rare occurrence of pancreatitis as a complication. In
surgical cases, external drainage of the bile is both crucial in observing the response
to the treatment, and also should be accepted as part of the treatment.
Schlüsselwörter
Fasciola hepatica - chirurgisches Vorgehen - Pankreatitis
Key words
Fasciola hepatica - surgical treatment - pancreatitis
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Prof. Dr. Emin Ugur Erkocak
Cukurova University, Medical Faculty, Department of General Surgery
Balcali
01330 Adana, Turkey
Email: eerkocak@cu.edu.tr
