{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:17:59Z","timestamp":1785421079641,"version":"3.56.0"},"reference-count":27,"publisher":"American Society for Microbiology","issue":"4","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["ASM Case Rep"],"published-print":{"date-parts":[[2026,7,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:sec>\n                      <jats:title>Background<\/jats:title>\n                      <jats:p>\n                        Fascioliasis is a zoonotic trematode infection caused by members of the genus\n                        <jats:italic toggle=\"yes\">Fasciola<\/jats:italic>\n                        (\n                        <jats:italic toggle=\"yes\">F. hepatica<\/jats:italic>\n                        and\n                        <jats:italic toggle=\"yes\">F. gigantica<\/jats:italic>\n                        ) that localize to the hepatic biliary ducts in humans. Parasites are acquired after ingestion of freshwater plants, and fascioliasis has been reported on every inhabited continent. Typically, fascioliasis is diagnosed by serology or stool examination. This case reports the unusual finding of adult\n                        <jats:italic toggle=\"yes\">Fasciola<\/jats:italic>\n                        organisms during an endoscopic retrograde cholangiopancreatography (ERCP).\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>Case Summary<\/jats:title>\n                      <jats:p>\n                        A 65-year-old woman who returned to the United States after traveling in Vietnam presented with abdominal pain, eosinophilia, and cholangitis. Filling defects\/debris were detected in the common bile duct (CBD) upon imaging studies, so an ERCP was performed to investigate further. During the procedure, between three and four adult flukes were recovered from the biliary ducts and were later identified as\n                        <jats:italic toggle=\"yes\">Fasciola<\/jats:italic>\n                        at a reference laboratory.\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>Conclusion<\/jats:title>\n                      <jats:p>\n                        The recovery of intact\n                        <jats:italic toggle=\"yes\">Fasciola<\/jats:italic>\n                        during a surgical procedure is a highly unusual finding. It is crucial to accurately identify these organisms as there are numerous different species of liver flukes. Some flukes may resemble\n                        <jats:italic toggle=\"yes\">Fasciola<\/jats:italic>\n                        at the egg or adult stage, such as\n                        <jats:italic toggle=\"yes\">Fasciolopsis buski<\/jats:italic>\n                        . The treatment of\n                        <jats:italic toggle=\"yes\">Fasciola<\/jats:italic>\n                        differs from that of all other liver flukes, as it is resistant to praziquantel and must be treated with triclabendazole, and improper treatment can lead to chronic complications.\n                      <\/jats:p>\n                    <\/jats:sec>\n                  <\/jats:sec>","DOI":"10.1128\/asmcr.00038-26","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:05:46Z","timestamp":1777899946000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":0,"title":["Adult\n                    <i>Fasciola<\/i>\n                    recovered from the biliary tree in a patient presenting with possible ascending cholangitis and acute acalculous cholecystitis"],"prefix":"10.1128","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3046-7272","authenticated-orcid":true,"given":"Kaeli N.","family":"Bryant","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03r0ha626","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Pathology, University of Utah","place":["Salt Lake City, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7055-942X","authenticated-orcid":true,"given":"Eileen","family":"Burd","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03czfpz43","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Pathology and Laboratory Medicine, Emory University","place":["Atlanta, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0851-0622","authenticated-orcid":true,"given":"Adam","family":"Barker","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03r0ha626","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Pathology, University of Utah","place":["Salt Lake City, USA"]},{"id":[{"id":"https:\/\/ror.org\/00c2tyx86","id-type":"ROR","asserted-by":"publisher"}],"name":"Infectious Diseases Operations, ARUP Laboratories","place":["Salt Lake City, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9975-941X","authenticated-orcid":true,"given":"Blaine A.","family":"Mathison","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03r0ha626","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Pathology, University of Utah","place":["Salt Lake City, USA"]},{"id":[{"id":"https:\/\/ror.org\/00c2tyx86","id-type":"ROR","asserted-by":"publisher"}],"name":"Infectious Diseases Operations, ARUP Laboratories","place":["Salt Lake City, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"235","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0065-308X(09)69002-3"},{"key":"e_1_3_1_3_2","first-page":"1","volume-title":"Fascioliasis","author":"Andrews S J","year":"1999","unstructured":"Andrews S J. 1999. 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