%0 Journal Article %T Fascioliasis: An Exceptional Cause of Acute Pancreatitis %A Echenique-Elizondo M %A Amondarain J %A Lir %J JOP Journal of the Pancreas %D 2005 %I E S Burioni Ricerche Bibliografiche %X CONTEXT: Fasciola hepatica is known to cause bile duct inflammation and biliary obstruction but is rarely reported as responsible for producing acute pancreatitis. CASE REPORT: We report on a patient complaining of acute pancreatitis. Endoscopic retrograde cholangio-pancreatography showed distinct features and sphincterotomy allowed extraction of multiple parasites. CONCLUSIONS: Pancreatitis may occur in some patients with fascioliasis, but the condition may be overlooked in chronic cases. Endoscopic retrograde cholangio-pancreatography rule out other possible causes of irregularity and thickening of the common bile duct wall. Parasite removal during endoscopic retrograde cholangio-pancreatography is one therapeutic option. Hepatic involvement must be ruled out and complete pharmacological treatment is advised in this patient. %K Acute Disease %K Adult %K Cholangiography %K Fasciola hepatica %K Fascioliasis %K Female %K Humans %K Pancreatitis /parasitology %U http://www.joplink.net/prev/200501/03.html