1/60. Hepatic capillariasis in children: report of 3 cases in brazil.capillaria hepatica is a helminth that may cause an extremely rare condition of parasitic hepatitis. Only 29 cases have been published, 2 of them in brazil. We report here 3 cases of children in brazil with massive hepatic capillariasis who presented the characteristic triad of this type of infection, i.e., persistent fever, hepatomegaly, and eosinophilia. The diagnosis was made by liver biopsy. All children responded well after treatment with thiabendazole (case 1), albendazole (case 3), and albendazole in combination with a corticoid (case 2). Case 1 has been followed-up for 24 years, an event not previously reported in the literature.- - - - - - - - - - ranking = 1keywords = liver, hepatomegaly (Clic here for more details about this article) |
2/60. capillaria hepatica parasitism.capillaria hepatica is rarely encountered in humans, with fewer than 30 documented cases. The clinico-pathological features of capillaria hepatica infection, diagnosed on liver biopsy of a 6-year-old child are discussed. Pathologically, it is characterised by prominent granulomatous lesions in the liver surrounding the eggs, which on cursory examination may be confused with schistosoma mansoni.- - - - - - - - - - ranking = 1.5504397085324keywords = liver (Clic here for more details about this article) |
3/60. leishmaniasis diagnosed by liver biopsy: management of two atypical cases.Two patients presenting with pyrexia of unknown origin were diagnosed as having visceral leishmaniasis based on the presence of leishmania donovani bodies in liver tissue. Of particular interest is that these two case reports suggest that in patients with pyrexia of unknown origin, a liver biopsy for L. donovani bodies should be considered even when several months have passed since leaving an endemic area, when splenomegaly is absent, when bone marrow examination and serology are not diagnostic, and even when abnormal coagulation necessitates a transjugular liver biopsy.- - - - - - - - - - ranking = 5.4265389798635keywords = liver (Clic here for more details about this article) |
4/60. Severe hepatic involvement in visceral larva migrans.Because of its anatomical position, the liver may be involved in many protozoan and helminthic gastrointestinal infections. Visceral larva migrans caused by toxocara canis is rarely taken into account in adult patients with cholestatic syndrome, especially when liver disease is not associated with hypereosinophilic reaction. We report on a 74-year-old immunocompetent woman who presented with fever, bronchospasm, erythema nodosum, weight loss and progressive jaundice. A liver biopsy showed caseating granulomatous hepatitis with secondary portal fibrosis and paucity of interlobular bile ducts. A step-by-step search for aetiological factors led us to a diagnosis of toxocariasis (positive enzyme-linked immunosorbent assay IgG test). An excellent clinical response to combined treatment with steroid and diethylcarbamazine, and a reduction in the antibody level against T. canis supported the diagnosis. Computed tomography and laparoscopy demonstrated multiple small mass lesions and fibrous perihepatitis. This report shows that visceral larva migrans may be a cause of prostrating chronic liver disease and should be suspected in every febrile patient with cryptogenic cholestatic hepatitis.- - - - - - - - - - ranking = 3.1008794170648keywords = liver (Clic here for more details about this article) |
5/60. Hepatic schistosomiasis japonica in a patient with gallstones and bile duct stones--a case report.Schistosomiasis, a common parasitic disease in many countries, is found as imported cases in taiwan. Responsible for human infections are five species, one of which, schistosoma japonicum, is currently endemic in china and South-east asia. Chronic infection with S. japonicum may lead to the development of liver fibrosis, calcification and portal hypertension. Under investigation by sonography and computed tomography (CT) scan, a peculiar "turtle-back" appearance of liver fibrosis and calcification may be found. Herein, we report a case referred to our department due to jaundice. The sonography of liver showed typical "turtle-back" appearance. gallstones and bile duct stones were also found in this case. Surgical interventions with percutaneous transhepatic biliary drainage (PTBD), cholecystectomy and choledocholithotomy were performed to relieve the obstructive jaundice and remove the stones. There were no parasitic eggs in the extracted stones or in drained bile juice. However, deposits of calcified S. japonicum eggs in liver parenchyma and portal tracts were identified in liver biopsy. No special treatment was given for the schistosomiasis japonica because the calcified parasitic eggs were the sequelae of past infection.- - - - - - - - - - ranking = 3.876099271331keywords = liver (Clic here for more details about this article) |
6/60. Right hepatic segmentectomy for the treatment of intrahepatic biliary stones due to ascaris lumbricoides: report of a case.We report herein the case of a 46-year-old woman investigated for recurrent acute cholangitis. Ultrasound, endoscopic retrograde cholangiopancreatography, and computed tomography scan revealed dilatation and multiple images suggestive of intrahepatic biliary stones in the ducts that drained segments V and VI of the liver. Endoscopic treatment was attempted unsuccessfully, and based on the severity of the last crisis of cholangitis a laparotomy was performed. A right hepatic lobectomy including segments V and VI was carried out without any complications, resulting in complete relief of symptoms. Pathological examination of the liver demonstrated the presence of worm nests in the liver parenchyma with chronic granulomatous lesions.- - - - - - - - - - ranking = 2.3256595627986keywords = liver (Clic here for more details about this article) |
7/60. Visceral larva migrans due to ascaris suum which presented with eosinophilic pneumonia and multiple intra-hepatic lesions with severe eosinophil infiltration--outbreak in a Japanese area other than Kyushu.A 32-year-old man presented with the chief complaint of severe cough. Examination of peripheral blood showed a marked increase in eosinophils. Chest CT demonstrated multiple ground glass opacities in both lungs. bronchoalveolar lavage showed abundant eosinophils. Abdominal CT demonstrated multiple low attenuation areas in the liver. Liver biopsy with ultrasonography revealed severe eosinophil infiltrations around the portal veins. Serologically, a multi-dot enzyme linked immunosorbent assay (DOT-ELISA) and ELISA inhibition test using microtiter plates were positive for ascaris suum. Thus, visceral larva migrans due to ascaris suum was diagnosed. Outbreaks of this disease in japan have previously been confined to the Kyushu area. The present case which occurred outside that area, illustrates the importance of constant attention to the epidemiology of this disease.- - - - - - - - - - ranking = 0.77521985426621keywords = liver (Clic here for more details about this article) |
8/60. Bile peritonitis due to ruptured amoebic liver abscess.A fatal case of bile peritonitis due to ruptured amoebic liver abscess is reported. Exudation of bile from a solitary abscess within the liver was the cause of the biliary peritonitis. Secondary bacterial peritontis and Gram negative septicaemia were complications and their clinical significance has been discussed.- - - - - - - - - - ranking = 4.6513191255972keywords = liver (Clic here for more details about this article) |
9/60. Treatment by splenectomy of a portal vein aneurysm in hepatosplenic schistosomiasis.portal vein aneurysm is a rare medical entity that can be caused by chronic hepatic diseases with portal hypertension. We describe a 45-year-old man with variceal bleeding from hepatosplenic schistosomiasis and an incidentally found intrahepatic aneurysm. diagnosis was confirmed with non-invasive imaging exams, arteriography and liver biopsy. Following splenectomy, the aneurysm diameter decreased substantially.- - - - - - - - - - ranking = 0.77521985426621keywords = liver (Clic here for more details about this article) |
10/60. Case report: hepatic ultrasound findings in a case of toxocariasis.Multiple hypoechoic areas within the liver may be caused by a large variety of disorders. We report a case of Toxocara infestation which produced such an appearance within the liver of an 18-month-old child. We believe that this is the first report of Toxocara granulomata detected by ultrasound, and suggest that ultrasound examination may provide a useful diagnostic clue to this disease.- - - - - - - - - - ranking = 1.5504397085324keywords = liver (Clic here for more details about this article) |
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