1/34. fascioliasis observed during laparoscopic cholecystectomy.fascioliasis is an uncommon zoonotic disease caused by fasciola hepatica, a liver fluke, for which humans act as an accidental host, infected by the ingestion of water or raw aquatic vegetables contaminated with the metacercaria. We report the case of a patient who presented to our clinic with right upper abdominal pain and nausea. physical examination and abdominal ultrasonography revealed cholelithiasis. Peripheral blood eosinophilia was the only positive sign observed during routine laboratory tests. We therefore decided to perform laparoscopic cholecystectomy. During laparoscopy peritoneal implants approximately 0.5-1 cm diameter were detected which gave an impression of peritoneal carcinomatosa. Laparoscopic cholecystectomy was performed, and biopsies were taken from the peritoneal implants which were examined histopathologically, and fascioliasis was determined.- - - - - - - - - - ranking = 1keywords = liver (Clic here for more details about this article) |
2/34. Necrotic granuloma of the liver by human fascioliasis: imaging findings.We report a case of necrotic granuloma of the liver by human fascioliasis. The lesion showed unusual findings at sonography, computed tomography, and magnetic resonance imaging that have not been reported previously.- - - - - - - - - - ranking = 5keywords = liver (Clic here for more details about this article) |
3/34. Acute fascioliasis with multiple liver abscesses.Human fascioliasis is distributed worldwide with several foci of high endemicity. Being a rare disease in europe, we describe here a case in the initial hepatic phase of the disease. Therapeutic and, with reference to the 2 distinct stages of disease, diagnostic standards are discussed.- - - - - - - - - - ranking = 4keywords = liver (Clic here for more details about this article) |
4/34. Obstruction of common bile duct caused by liver fluke--fasciola hepatica.Three cases of obstruction of the common bile duct by fasciola hepatica with two of the patients presenting jaundice are reported. The authors have reviewed several publications concerning common bile duct obstruction by liver fluke, a quite rare complication of fascioliasis. Only nineteen cases of common bile duct obstruction caused by fasciola hepatica have been reported in a review of medical publications during last ten years. Clinical presentation, diagnostic methods and considerations, types of surgery are fairly uniform in all of the reported cases. Almost all of patients reviewed, had the history, symptoms and signs characteristic for cholelithiasis including recurrent colic pain in right hypochondriac area, fever or subfebrile temperature, fluctuating or stabile jaundice, and palpable painful gallbladder. The laboratory findings in all cases reviewed had shown leucocytosis, eosinophilia, high or slight elevated serum bilirubin. Echographically commonly revealed dilated intra- and extrahepatic bile ducts containing one or more hyperechogenic elements with or without casting an acoustic shadow. All patients underwent open surgery, comprised with choledochotomy and if possible extraction of the fluke. Only two postoperative cases were of necessity followed by ERCP. In all of our cases the primary pre-operative diagnosis was choledocholithiasis, with diagnose of fascioliasis established at the operation. According to the literature this uncertainty in diagnosis is common because of difficulties in differentiation of fascioliasis versus choledocholithiasis. Considerations for making the differential diagnosis--a history of origin or visiting in endemic area of infection, history of eating of aquatic vegetables, laboratory findings including eosinophilia, fasciola eggs in stool, sonography and radiological imaging results and enzyme-linked immunosorbent essay (ELISA) which has been shown to be rapid, sensitive and quantitative. In all three cases we have observed intraoperative significant signs for liver fascioliasis to include surface scarring of the left lobe on the liver--tracks caused by subcapsular migration and location of the hepatic lesions (these findings were also seen by two authors in literature) with resemblance to Japanese letters. The most effective drug for treatment of fascioliasis according to our experience and literature reviewed is bithionol.- - - - - - - - - - ranking = 7keywords = liver (Clic here for more details about this article) |
5/34. Imported fasciola hepatica infection in the united states and treatment with triclabendazole.infection with fasciola hepatica, a liver trematode, is not frequently reported in the united states. We describe 2 patients, both originally from cape verde, who illustrate the spectrum of clinical presentations of F. hepatica as well as the means of treating infection with this parasite. Patient 1 had extensive disease and underwent multiple diagnostic procedures before the correct diagnosis was reached. Patient 2, who had few symptoms, had fascioliasis diagnosed by a noninvasive evaluation. Both patients were treated with triclabendazole without experiencing significant side effects. fascioliasis that has been imported to the united states may elude prompt or accurate diagnosis. Obtaining a detailed travel history and recognizing the clinical presentation early in the course of infection may permit timely and noninvasive identification of infection. Triclabendazole is now the recommended drug for treating for fascioliasis because of its efficacy, safety, and ease of use.- - - - - - - - - - ranking = 1keywords = liver (Clic here for more details about this article) |
6/34. fascioliasis causing hepatitis in two eaters of water cress.fasciola hepatica infection of the liver in a husband and wife occurred after they had eaten water cress exposed to pollution by cattle. diagnosis was a problem. Both responded to treatment with chloroquine and emetine. The epidemilology and pathology of infection of the liver by fasciola hepatica are described. The danger of eating water cress is emphasized for this momentary delight may lead to a chronic debilitating illness.- - - - - - - - - - ranking = 2keywords = liver (Clic here for more details about this article) |
7/34. Percutaneous biliary drainage: an alternative treatment for biliary fascioliasis.fascioliasis initially involves the liver parenchyma and then the biliary ducts. The disease can mimic most hepatobiliary diseases at different stages of involvement. We report a case in which the final diagnosis was reached by microscopic demonstration of fasciola hepatica eggs in bile obtained by percutaneous transhepatic biliary drainage. Computed tomographic findings that were misinterpreted as metastatic liver disease are presented, and the roles of percutaneous transhepatic cholangiography and biliary drainage are discussed.- - - - - - - - - - ranking = 2keywords = liver (Clic here for more details about this article) |
8/34. A Scandinavian case of domestically acquired human fascioliasis.A 30-y-old farmhand was admitted to our clinic in September 2000 with a 6-week history of increasing fatigue and polydipsia/polyuria after an initial short spell of gastroenteritis. No evidence of disease was discovered. During follow-up he developed leucocytosis with prominent eosinophilia, leading to the discovery of multiple liver abscesses and subsequently to the diagnosis of human fascioliasis of domestic origin. Although not uncommon in europe, the infestation has hitherto not been reported from scandinavia. The patient was successfully treated with praziquantel.- - - - - - - - - - ranking = 1keywords = liver (Clic here for more details about this article) |
9/34. Hypereosinophilia and liver mass in an immigrant.Human infection with the sheep liver fluke fasciola hepatica is a global zoonosis that usually parallels the prevalence of infection in sheep and other ruminants. The disease is endemic in South and central america, puerto rico, the caribbean region, many parts of africa, asia, the middle east, australia, and china. There have been a number of focal outbreaks reported from europe, including southern france and the mediterranean region. Since acute fascioliasis has rarely been reported in the united states, physicians in this country frequently overlook the diagnosis. Therefore, we report a case of acute human fascioliasis and review the pathogenesis, diagnosis, and treatment of this disease in a recently arrived immigrant.- - - - - - - - - - ranking = 5keywords = liver (Clic here for more details about this article) |
10/34. liver, spleen, pancreas and kidney involvement by human fascioliasis: imaging findings.BACKGROUND: fasciola hepatica primarily involves the liver, however in some exceptional situations other organs have been reported to be involved. The ectopic involvement is either a result of Parasite migration or perhaps eosinophilic reaction. CASE PRESENTATION: Here we report a known case of multiple myeloma who was under treatment with prednisolone and melphalan. He was infected by fasciola hepatica, which involved many organs and the lesions were mistaken with metastatic ones. DISCUSSION: Presented here is a very unusual case of the disease, likely the first case involving the pancreas, spleen, and kidney, as well as the liver.- - - - - - - - - - ranking = 2keywords = liver (Clic here for more details about this article) |
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