Korean J Parasitol.
2015 Dec;53(6):725-730. 10.3347/kjp.2015.53.6.725.
Ectopic Human Fasciola hepatica Infection by an Adult Worm in the Mesocolon
- Affiliations
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- 1Department of Emergency Medicine, Inha University Hospital, Inha University School of Medicine, Incheon 22332, Korea.
- 2Department of Pathology, Inha University Hospital, Inha University School of Medicine, Incheon 22332, Korea. ispap@inha.ac.kr
- 3Department of Surgery, Inha University Hospital, Inha University School of Medicine, Incheon 22332, Korea.
- 4Department of Internal Medicine, Inha University Hospital, Inha University School of Medicine, Incheon 22332, Korea.
- 5Department of Parasitology, Inha University School of Medicine, Incheon 22332, Korea.
- KMID: 2360154
- DOI: http://doi.org/10.3347/kjp.2015.53.6.725
Abstract
- We report here an ectopic case of Fasciola hepatica infection confirmed by recovery of an adult worm in the mesocolon. A 56-year-old female was admitted to our hospital with discomfort and pain in the left lower quadrant of the abdomen. Abdominal CT showed 3 abscesses in the left upper quadrant, mesentery, and pelvic cavity. On surgical exploration, abscess pockets were found in the mesocolon of the sigmoid colon and transverse colon. A leaf-like worm found in the abscess pocket of the mesocolon of the left colon was diagnosed as an adult fluke of F. hepatica. Histologically, numerous eggs of F. hepatica were noted with acute and chronic granulomatous inflammations in the subserosa and pericolic adipose tissues. Conclusively, a rare case of ectopic fascioliasis has been confirmed in this study by the adult worm recovery of F. hepatica in the mesocolon.
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