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    BILIARY FASCIOLA GIGANTICA CASE REPORT FROM TURKEY
    (Southeast Asian Ministers Educ Organization, 2011) Goral, Vedat; Senturk, Senem; Mete, Omer; Cicek, Mutallib; Ebik, Berat; Kaya, Besir
    We present a case of Fasciola gigantica-induced biliary obstruction and cholestasis diagnosed and treated via endoscopy and trichlorobendazole treatment. This is the first case of Fasciola gigantica treated via endoscopic biliary extraction during ERCP and drug treatment reported from Turkey.
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    Brucellosis Induced Ascites, Cholestasis and Elevated Serum CA 125 Level: Case Report
    (Ortadogu Ad Pres & Publ Co, 2012) Kaya, Muhsin; Bestas, Remzi; Cangul, Mehmet Sadik; Kaya, Besir
    Gastrointestinal complications of brucellosis are randomly reported, ascites and cholestasis being particularly rare. A 25-year-old female patient with a history of fever, weakness, jaundice, nausea and sweating was admitted to our clinic. The physical examination revealed a temperature of 39.3 degrees C, hepatosplenomegaly and moderate free ascites in the abdomen. Initial laboratory investigation revealed mild anemia, biochemical findings of cholestasis, hypoalbuminemia, elevated serum CA 125 level, increased lymphocyte count in ascidic fluid and low (0.9 g) serum-ascites albumin gradient. After comprehensive evaluation, Brucella melitensis induced ascites, intrahepatic cholestasis and elevated serum CA 125 level were detected. We observed complete clinical and laboratory improvement at the end of anti-brucellosis treatment.
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    A Case of Biliary Fascioliasis by Fasciola gigantica in Turkey
    (Korean Soc Parasitology, Seoul Natl Univ Coll Medi, 2011) Goral, Vedat; Senturk, Senem; Mete, Omer; Cicek, Mutallib; Ebik, Berat; Kaya, Besir
    A case of Fasciola gigantica-induced biliary obstruction and cholestasis is reported in Turkey. The patient was a 37- year-old woman, and suffered from icterus, ascites, and pain in her right upper abdominal region. A total of 7 living adult flukes were recovered during endoscopic retrograde cholangiopancreatography (ERCP). A single dose of triclabendazole was administered to treat possible remaining worms. She was living in a village of southeast of Anatolia region and had sheeps and cows. She had the history of eating lettuce, mallow, dill, and parsley without washing. This is the first case of fascioliasis which was treated via endoscopic biliary extraction during ERCP in Turkey.