Paragonimiasis is a lung fluke of human and usually found in the lungs but may be found in many unusual locations such as pleura, abdominal wall and brain etc. A 16-year old female patient visited department of Gynecology due to abdominal pain and distension. She took an examination with ultrasonography for ascites or pelvic cystic mass evaluation, diagnostic laparoscopy with omental biopsy for tissue diagnosis, and parasite specific antibody test (ELISA) for paragonimiasis. We made the diagnosis of Omental Paragonimiasis based on P. westermani eggs in eosinophils containing granuloma by laparoscopic mesenteric lymph node biopsy and specific IgE antibody to P. westermani. She was treated with praziquantel for three days and discharged. Here, we report a case of omental paragonimiasis with literature review, because this rarely involves the omentum and may be confused with other abdominopelvic inflammatory diseases, particularly intestinal tuberculosis in Korea.
Abdominal Pain ; Abdominal Wall ; Adolescent ; Ascites ; Biopsy ; Brain ; Diagnosis ; Eggs ; Eosinophils ; Female ; Granuloma ; Gynecology ; Humans ; Immunoglobulin E ; Korea ; Laparoscopy ; Lung ; Lymph Nodes ; Omentum ; Ovum ; Paragonimiasis* ; Parasites ; Pleura ; Praziquantel ; Trematoda ; Tuberculosis ; Ultrasonography