Endosonografi ile tanı konulan Fasciola hepatika'nın neden olduğu kolestaz vakası: 'Bazen görmek yeterli olmayabilir izlemek gerekir'

FİLİZ AKYÜZ, Bilger ÇAVUŞ, Sabahattin Kaymakoğlu
2019 Endoskopi Gastrointestinal  
However, her epigastric pain and pain in the right upper quadrant became particularly severe in recent months along with the development of yellow eyes, due to which she visited the emergency polyclinic. Physical examination performed in the polyclinic revealed good general condition, as she was conscious, cooperative, and oriented. However, her skin and sclerae revealed symptoms of icterus. Furthermore, the patient was normotensive and showed grade 2/6 systolic murmurs in all foci in her
more » ... c examination. Her body temperature was 37.6°C, and there were no pathological findings in the evaluation of her respiratory system. Abdominal examination revealed sensitivity upon palpation in the right upper quadrant and the epigastric area. Laboratory analyses of her complete blood count showed the following results: white blood cells 13,800 mm³, neutrophils 13,100 mm³, eosinophils 100 mm³, and platelets 189,000 mm³. Blood biochemistry demonstrated the following values: alkaline phosphatase (ALP) 105 U/L, aspartate aminotransferase (AST) 113 U/L, alanine aminotransferase (ALT) 89.3 U/L, gamma-glutamyl transpeptidase (GGT) 120 U/L, total bilirubin 2.42 mg/dL, direct bilirubin 1.77 mg/dL, amylase 182 U/L, lipase 201 U/L, and C-reactive protein (CRP) 67.48 mg/L. In her abdominal ultrasonography, the thickness of the gallbladder wall was found to be normal, and a hyperechogenic lesion consistent with a gallbladder polyp of diameter 3 mm was observed inside the lumen. A linear hyperechogenic area was observed in the Anahtar kelimeler: Endosonografi, fasioliazis, kolestaz İletişim: Filiz AKYÜZ Endosonografi ile tanı konulan Fasciola hepatika'nın neden olduğu kolestaz vakası: 'Bazen görmek yeterli olmayabilir, izlemek gerekir' A case of cholestasis caused by Fasciola hepatica diagnosed with endosonography: "Sometimes seeing might not be enough, watching is required"
doi:10.17940/endoskopi.631855 fatcat:i4pchb6arbe7ro77732vbda6y4