A Human Case of Hepatic Resection for Liver Fascioliasis in Korea.
10.12701/yujm.1990.7.1.165
- Author:
Hong Jin KIM
;
Sung Kyun ROH
;
Min Chul SHIM
;
Koing Bo KWUN
;
Heun Ju LEE
;
Jae Chun CHANG
;
Tae Sook LEE
- Publication Type:Case Report
- Keywords:
Liver Fascioliasis;
Hepatic Resection
- MeSH:
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
- From:Yeungnam University Journal of Medicine
1990;7(1):165-171
- CountryRepublic of Korea
- Language:Korean
-
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.
