Unusual Cause of Gall Stone and Cholecystitis in An Adolescent Sujatha Chinnappan*

Fascioliasis is caused by Fasciola hepatica or Fasciola gigantica which are transmitted by ingesting raw contaminatedfreshwater plants. Sheep and cattle are definite hosts with snails being intermediate and humans are incidental hosts1. Theclinical manifestations are divided into two phases. Acute hepatic phase occurring 6 to 12 weeks of ingestion with abdominalpain, fever, anorexia, loss of appetite and weight, myalgia and marked eosinophilia. Chronic hepatic phase starts from about 6months to up to 10 years or more. Most are asymptomatic but can develop common bile duct obstruction, gall bladder stones,cholangitis, biliary cirrhosis and sclerosing cholangitis.