Wasana KanoksilDuangkamon WattanatranonChumpon WilasrusmeeSomkit MingphruedhSukhum BunyaratvejMahidol UniversityFaculty of Medicine, Ramathibodi Hospital, Mahidol University2018-08-202018-08-202006-12-01Journal of the Medical Association of Thailand. Vol.89, No.12 (2006), 2150-215401252208012522082-s2.0-33845621121https://repository.li.mahidol.ac.th/handle/123456789/23429Biliary fascioliasis was diagnosed in a woman from Angthong province, who presented herself with anorexia, weight loss, and jaundice for one month. Intraoperative retrograded cholangiopancreatography revealed a filling defect considered as a stone and bile sludge. By the sphincterotomy and balloon-extraction technique, one live fluke was removed and identified as Fasciola gigantica. A single dose of praziquantel, 25 mg/kg of body weight/day, was given although the postoperative stool examination revealed no Fasciola spp. egg. The patient was doing well after the fluke removal. According to a previous review, in this country, Ayutthaya is the southernmost province for the distribution of fascioliasis.Mahidol UniversityMedicineArticleSCOPUS