Yeungnam Univ J Med.  1990 Jun;7(1):165-171. 10.12701/yujm.1990.7.1.165.

A Human Case of Hepatic Resection for Liver Fascioliasis in Korea

Abstract

Human Fasciola hepatica infection is a rare entity involving infestation of the liver and biliary tree with adult flukes, which can result in hepatitis, cirrhos is and biliary tract inflammation, obstruction and lithiasis. The patient had the typical diagnostic tetrad of fever, eosinophilic leukocytosis, tender hepatomegaly and fluke ova in the stools. Treatment consists of Emetine hydrochloride hydrochloride administration for hepatic involvement and common bile duct exploration for removal of flukes, with cholecystectomy for associated cholelithiasis. The combination of medical and surgical therapy can be expected to produce an arrest of this infection. The removed liver revealed eggs of the fasciola species in the intrahepatic bile duct. The clinical history, pathological findings and treatment of this case were described.

Keyword

Liver Fascioliasis; Hepatic Resection

MeSH Terms

Adult
Bile Ducts, Intrahepatic
Biliary Tract
Cholecystectomy
Cholelithiasis
Common Bile Duct
Eggs
Emetine
Eosinophils
Fasciola
Fasciola hepatica
Fascioliasis*
Fever
Hepatitis
Hepatomegaly
Humans*
Inflammation
Korea*
Leukocytosis
Lithiasis
Liver*
Ovum
Trematoda
Emetine
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