A Case of Clonorchiasis Presenting as Common Bile Duct Mass

Ji-hye Oh; Ho Gak Kim

doi:10.4166/kjg.2010.56.4.211

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Oh and Kim: A Case of Clonorchiasis Presenting as Common Bile Duct Mass

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Korean J Gastroenterol 2010;56(4):211-213.

Published online: 21 February 2010

DOI: https://doi.org/10.4166/kjg.2010.56.4.211

A Case of Clonorchiasis Presenting as Common Bile Duct Mass

Ji-hye Oh, M.D., Ho Gak Kim, M.D.

Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea

Correspondence to: Ho Gak Kim, M.D. Department of Internal Medicine, Catholic University of Daegu School of Medicine, 3056-6, Daemyeong 4-dong, Nam-gu, Daegu 705-718, Korea Tel: +82-53-650-4041, Fax: +82-53-624-3281 E-mail: hgkim@cu.ac.kr

REFERENCES

1. Kim HG, Han J, Kim MH, et al. Prevalence of clonorchiasis in patients with gastrointestinal disease: A Korean nationwide multicenter survey. World J Gastroenterol. 2009; 15:86–94.

2. Joo CY, Chung MS, Kim SJ, Kang CM. Changing patterns of clonorchis sinensis infections in Kyongbuk, Korea. Korean J Parasitol. 1997; 35:155–164.

3. Kim YH. Extrahepatic cholangiocarcinoma associated with clonorchiasis: CT evaluation. Abdom Imaging. 2003; 28:68–71.

4. Lim JH. Radiologic findings of clonorchiasis. AJR Am J Roentgenol. 1990; 155:1001–1008.

5. Bhargava DK. Endoscopy and biliary parasites. Gastrointest Endosc Clin N Am. 1996; 6:139–152.

6. Park YH, Choi SK. A clinical review on biliary clonorchiasis. Korean J Gastroenterol. 1986; 18:145–152.

7. Song HY, Rhee KS, Lee ST, Kim DK, Ahn DS. Clinical features in clonorchiasis. Korean J Gastroenterol. 1995; 27:64–71.

8. Kang DH, Choi SH, Chun KJ, et al. ERCP findings in hepatic clonorchiasis. Korean J Gastrointest Endosc. 1993; 13:121–126.

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Fig. 1.

Contrast-enhanced CT finding of the patient. There were gallbladder distension and wall thickening, and dilated common bile duct.

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Fig. 2.

Endoscopic retrograde cholangiopancreatographic finding. Major papilla looked normal in endoscopic view.

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Fig. 3.

Endoscopic retrograde cholangiopancreatographic findings. (A) A filling defect was noted at the distal common bile duct. (B) Threre was diffuse mild dilatation at peripheral intrahepatic bile ducts.

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Fig. 4.

Endoscopic ultrasound findings. There was a small papillary mass in the distal common bile duct. CBD, common bile duct; PD, pancreatic duct.

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Fig. 5.

Endoscopic view after second endoscopic retrograde cholangiopancreatography. (A) After endoscopic sphincterotomy, a part of fluke was seen in the ampulla. (B) The flukes were extracted into the duodenum through the ampulla with balloon basket.

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