Korean J Gastroenterol.  2023 Oct;82(4):194-197. 10.4166/kjg.2023.090.

Case of Abdominal Colicky Pain Caused by Hepatic Paragonimiasis

• Kim MS

• KMID: 2547290
• DOI: http://doi.org/10.4166/kjg.2023.090

Abstract

In Korea, the prevalence of paragonimiasis has decreased markedly since 1970 and is now rarely encountered. Although the lung is the primary site of paragonimiasis, ectopic infestation can occur in other sites. The central nervous system is the most commonly involved ectopic site, accounting for only approximately 1% of all paragonimiasis patients. Therefore, the liver is an extremely rare site of ectopic infestation. The authors experienced the case of a 55-year-old female with hepatic paragonimiasis who presented with abdominal colicky pain.

Keyword

Paragonimiasis; Liver; Colicky pain

Figure

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  Fig. 1 An abdominal CT scan. Single low attenuation lesion (arrow) with hepatic capsular enhancement and wedge-shaped perilesional enhancement (A: pre-contrast phase, B: arterial phase, C: portal phase, D: delayed phase).

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  Fig. 2 An abdominal CT scan. Venous phase axial view, same level as Fig. 1 (white line).

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