UNASSIGNED: Infection with the trematode @entity2440 is the most common @entity1 @entity281 in East Asian populations. Although this @entity281 is associated with @entity3883 or @entity2877 , @entity715 has not been reported. Here, we report the first case of a 60-year-old @entity1 who had both @entity2441 @entity281 and @entity715 with severe @entity3638 (75.4 mg/dl). He initially presented with @entity490 and @entity1087 . Computed tomography revealed @entity5990 , common bile duct calculus, and @entity715 in the left main branch of the portal vein. A nasobiliary tube was inserted under endoscopic retrograde cholangiography. Cytology of the bile juice revealed many @entity2441 eggs. The @entity490 and @entity1087 improved following choledocholithotomy and combination treatment with a chemotherapeutic agent and anti-coagulant. This case suggests that @entity32 around the portal vein as a result of @entity2441 @entity281 has the potential to evoke @entity715 . Such cases should be treated with both a chemotherapeutic agent and anti-coagulant therapy. In conclusion, the possibility of @entity281 with @entity2441 should be considered in @entity1 presenting with @entity3638 and @entity715 , particularly in East Asian populations. Diagn. Cytopathol. 2015.    2015 Wiley Periodicals, Inc.

@entity2440 ova in bile juice cytology from a @entity1 with severe XXXX and @entity715 .

@entity1 :: ('9606', 'Species') :: ['human', 'patients', 'man'] @entity3883 :: ('MESH:D041781', 'Disease') :: ['obstructive jaundice'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammation'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundice'] @entity2441 :: ('143401', 'Species') :: ['C. sinensis'] @entity5990 :: ('MESH:D042882', 'Disease') :: ['gallstones'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection', 'fluke infection'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity2440 :: ('79923', 'Species') :: ['Clonorchis sinensis'] @entity715 :: ('MESH:D013927', 'Disease') :: ['portal vein thrombosis', 'thrombus'] @entity3638 :: ('MESH:D006932', 'Disease') :: ['hyperbilirubinemia'] @entity2877 :: ('MESH:D042883', 'Disease') :: ['choledocholithiasis']
@entity3638 :: (MESH:D006932,Disease) :: ['hyperbilirubinemia']
