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KMID : 0882420070720060658
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Korean Journal of Medicine
2007 Volume.72 No. 6 p.658 ~ p.662
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A case of fascioliasis diagnosed by endoscopic nasobiliary drainage fluid examination
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Ha Sang-Woo
Chang Hyun-Ha
Kim Shin-Woo
Lee Jong-Myung
Cho Chang-Min
Kong Hyun-Hee
Chung Dong-Il
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Abstract
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Fascioliasis is a zoonotic parasitic disease caused by Fasciola hepatica, the sheep liver fluke. Humans are accidental hosts in the life cycle of this parasite. Radiographic studies such as computerized tomography (CT) and ultrasonography are used widely for diagnosis. The abnormalities seen most commonly on a CT scan of the abdomen are multiple, small (less than 10 mm), indiscrete, hypodense lesions and microabscesses with tunnel-like branches, with frequent subcapsular locations of the lesions. A rare case of fascioliasis presenting with multi-septated hepatic cystic lesion like biliary cyst adenoma is reported. We experienced a 28-year-old woman who had epigastric pain for 5 months with severe eosinophilia and multi-septated 3.6 cm-sized hepatic cysts. We finally diagnosed the condition by identifying eggs of Fasciola hepatica from endoscopic nasobiliary drainage (ENBD) fluid.
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KEYWORD
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Fascioliasis, Cholangiopancreatography, Endoscopic retrograde, Drainage
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