Perú
Perú
Se reporta un caso de colangitis y colecistitis aguda alitiásica secundaria a fasciolosis en una mujer de 22 años procedente de Huaral (Lima, Perú), con antecedentes de consumo frecuente de emolientes, con 5 días de enfermedad caracterizado por dolor abdominal, vómitos, ictericia e hiporexia. En el acto operatorio se halló cuerpos extraños y durante sus días de hospitalización se detectaron especimenes adultos del tremátode Fasciola hepatica en la irrigación trans-Kehr causantes de obstrucción del drenaje. La colangiografía retrógrada endoscópica mostró la localización de los parásitos en las vías biliares. Este es el segundo caso reportado en la literatura de extracción de este distoma mediante métodos similares. Se discute además la epidemiología, exámenes radiológicos y pruebas de diagnóstico en el Perú.
This is a report of a case of acute cholangitis and cholecystitis secondary to fasciolosis in a 22 year old woman from Huaral (Lima, Peru) who had previously consumed emolientes (Emolientes are beverages made by steeping leaves of certain plants -watercress, alfalfa- or herbs in hot water). She had been ill for five days prior to admission with abdominal pain, vomiting, icterus, and anorexia. During the operation, foreign bodies were found and during the subsequent days of her hospitalization, adult forms of the trematode Fasciola hepatica were found to be obstructing the Kehr drain that had been placed intraoperatively. ERCP showed the parasites in the biliary tract. This is the second reported case of extraction of this parasite through this means. The epidemiology, radiologic findings, and diagnostic tests for infection by this parasite are discussed, with particular respect to Peru, one of the countries with the highest prevalence of infection by this parasite in the world
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