A Case of Extrapulmonary Paragonimiasis Involiving Liver and Cecum.
- Author:
Han Ki LEE
;
Myung Won KANG
;
Jeong Ho KIM
;
Hyang Soon YEO
;
Hong Bae PARK
- Publication Type:Original Article
- MeSH:
Abdomen;
Abscess;
Biopsy;
Carcinoma, Hepatocellular;
Cecum*;
Cholangiopancreatography, Endoscopic Retrograde;
Diagnosis;
Diaphragm;
Female;
Humans;
Intestines;
Laparotomy;
Liver Abscess;
Liver*;
Lung;
Middle Aged;
Paragonimiasis*;
Paragonimus;
Paragonimus westermani;
Praziquantel;
Skin Tests;
Thorax;
Ultrasonography;
X-Ray Film
- From:Korean Journal of Gastrointestinal Endoscopy
1987;7(1):65-69
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a caae of hepatic and intestinal infestation with paragonimus wewstermani complicating abscess formation. The pathway by which the paragonimus westermani reaehea liver and intestine is not well understood. However, there was possiblity that it may become lodged in other organs that the lung because of polonged larval migrations through the diaphragm or into various sites in the abdomen. The patient, 52-year-old female gave a history of having reyeatedly consumed raw crabs. An x-ray film of the chest showed clear lunga Skin test for paragonimus-westermani was positive. Abdominal ultrasonogram showed enlargement of the liver with multiple hypoechoic lesiona ERCP revealed multiple ie lesions in the right lobe of the liver. Abdaminal CT showed multifocal abscess cavities with slight rim enhancements. Above meetioned diagnostic procedures suggested liver abscess or hepatoma. Then, an exploratory laparotomy was done for a definite diagnosis, Frozen biopsy, from liver and surgically exe mass from ileocecal region revealed extrpulmonary paragnomiasis involving liver and cecum. Thus, the patient was treated with prasiquantel. Three months later, abdominal ultrasonogram demonstrated slight enlargement of the liver but no evidence of abnormal mass like lesions.
