Ectopic Human Fasciola hepatica Infection by an Adult Worm in the Mesocolon

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, mes...

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Bibliographic Details
Published in:Korean journal of parasitology 2015-12, Vol.53 (6), p.725-730
Main Authors: Kim, A.J., Inha University School of Medicine, Incheon, Republic of Korea, Choi, C.H., Inha University School of Medicine, Incheon, Republic of Korea, Choi, S.K., Inha University School of Medicine, Incheon, Republic of Korea, Shin, Y.W., Inha University School of Medicine, Incheon, Republic of Korea, Park, Y.K., Inha University School of Medicine, Incheon, Republic of Korea, Kim, L., Inha University School of Medicine, Incheon, Republic of Korea, Choi, S.J., Inha University School of Medicine, Incheon, Republic of Korea, Han, J.Y., Inha University School of Medicine, Incheon, Republic of Korea, Kim, J.M., Inha University School of Medicine, Incheon, Republic of Korea, Chu, Y.C., Inha University School of Medicine, Incheon, Republic of Korea, Park, I.S., Inha University School of Medicine, Incheon, Republic of Korea
Format: Article
Language:English
Subjects:
Animals
Case Report
ectopic fascioliasis,human,mesocolon
FASCIOLA HEPATICA
Fasciola hepatica - genetics
Fasciola hepatica - isolation & purification
Fascioliasis - diagnosis
Fascioliasis - parasitology
Female
Humans
Mesocolon - parasitology
Middle Aged
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Summary: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.
ISSN:0023-4001
1738-0006
DOI:10.3347/kjp.2015.53.6.725