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KMID : 1103720150720040291
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Journal of the Korean Society of Radiology
2015 Volume.72 No. 4 p.291 ~ p.294
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Hepatobiliary Fascioliasis with Multiple Aneurysms and Active Bleeding: A Case Report
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Choi Soo-young
Kim Jae-Woon
Chang Jay-Chun
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Abstract
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A 52-year-old woman visited our institution with upper abdominal pain which had lasted for the past two days. Laboratory tests revealed mild leukocytosis, decreased serum hemoglobin, and peripheral blood eosinophilia. CT scans showed multiple ill-defined, hypodense lesions in the peripheral areas of both hepatic lobes and active bleeding with a subcapsular hematoma in the right hepatic lobe. Angiography also showed active bleeding in the right hepatic lobe with multiple aneurysms, so a transarterial coil embolization was performed to stop the bleeding. The endoscopic retrograde cholangiopancreatography revealed several moving flat flukes in the common bile duct, which were pathologically confirmed as Fasciola hepatica.
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KEYWORD
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Fascioliasis, Fasciola Hepatica, Aneurysm, Ruptured, Hemorrhage
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