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논문 기본 정보

자료유형
학술저널
저자정보
Bong Kyun Kang (Seoul National University Bundang Hospital) Bong-Kwang Jung (Seoul National University College of Medicine) Yoon Suk Lee (Seoul National University Bundang Hospital) In Kyeom Hwang (Seoul National University Bundang Hospital) Hyemi Lim (Seoul National University College of Medicine) Jaeeun Cho (Seoul National University College of Medicine) Jin-Hyeok Hwang (Seoul National University Bundang Hospital) Jong-Yil Chai (Seoul National University College of Medicine)
저널정보
대한기생충학열대의학회 Parasites, Hosts and Diseases The Korean Journal of Parasitology Vol.52 No.2
발행연도
2014.4
수록면
193 - 196 (4page)

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초록· 키워드

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Fascioliasis is a zoonotic infection caused by Fasciola hepatica or Fasciola gigantica. We report an 87-year-old Korean male patient with postprandial abdominal pain and discomfort due to F. hepatica infection who was diagnosed and managed by endoscopic retrograde cholangiopancreatography (ERCP) with extraction of 2 worms. At his first visit to the hospital, a gallbladder stone was suspected. CT and magnetic retrograde cholangiopancreatography (MRCP) showed an intraductal mass in the common bile duct (CBD) without proximal duct dilatation. Based on radiological findings, the presumed diagnosis was intraductal cholangiocarcinoma. However, in ERCP which was performed for biliary decompression and tissue diagnosis, movable materials were detected in the CBD. Using a basket, 2 living leaf-like parasites were removed. The worms were morphologically compatible with F. hepatica. To rule out the possibility of the worms to be another morphologically close species, in particular F. gigantica, 1 specimen was processed for genetic analysis of its ITS-1 region. The results showed that the present worms were genetically identical (100%) with F. hepatica but different from F. gigantica.

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Abstract
INTRODUCTION
CASE RECORD
DISCUSSION
REFERENCES

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