What rare, severe complication is linked to long-standing, heavy infestation of *D. dendriticum* in the biliary tree?
Answer
Cholangiocarcinoma (cancer of the bile ducts)
In cases where dicrocoeliasis is severe and chronic, the prolonged irritation and physical obstruction caused by the adult flukes within the biliary tree can lead to significant pathological changes. While inflammation (cholangitis) and fibrosis are common, severe, long-standing infestations have been associated with more serious sequelae. These include biliary obstruction, the formation of gallstones (cholelithiasis), and, in some infrequent documented cases, the development of cholangiocarcinoma, which is cancer arising from the bile ducts.

Related Questions
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