Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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Ectopic Human Fasciola hepatica Infection by an Adult Worm in the Mesocolon

  • Kim, Ah Jin (Department of Emergency Medicine, Inha University Hospital, Inha University School of Medicine) ;
  • Choi, Chang Hwan (Department of Pathology, Inha University Hospital, Inha University School of Medicine) ;
  • Choi, Sun Keun (Department of Surgery, Inha University Hospital, Inha University School of Medicine) ;
  • Shin, Yong Woon (Department of Internal Medicine, Inha University Hospital, Inha University School of Medicine) ;
  • Park, Yun-Kyu (Department of Parasitology, Inha University School of Medicine) ;
  • Kim, Lucia (Department of Pathology, Inha University Hospital, Inha University School of Medicine) ;
  • Choi, Suk Jin (Department of Pathology, Inha University Hospital, Inha University School of Medicine) ;
  • Han, Jee Young (Department of Pathology, Inha University Hospital, Inha University School of Medicine) ;
  • Kim, Joon Mee (Department of Pathology, Inha University Hospital, Inha University School of Medicine) ;
  • Chu, Young Chae (Department of Pathology, Inha University Hospital, Inha University School of Medicine) ;
  • Park, In Suh (Department of Pathology, Inha University Hospital, Inha University School of Medicine)
  • Received : 2015.04.17
  • Accepted : 2015.11.21
  • Published : 2015.12.31
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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.

Keywords

References

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