Unusual Radiological Findings of <i>Fasciola Hepatica</i> Infection with Huge Cystic and Multilocular Lesions

Abstract

This report describes a case of hepatic phase Fasciola hepatica infection presenting huge and multilocular lesions. The unique radiological findings mimicked hydatid diseases and also cystic liver neoplasm. Fascioliasis should be included in the differential diagnosis for cystic liver diseases.

Pseudotumor inflamatorio por Fasciola hepática: a propósito de un caso

“…Se han reportado casos similares de tumores hepáticos que tuvieron como diagnóstico final una infección por F. hepatica en países como Perú 9 , Chile 10 , Turquía 1,2,11,12 y Japón 13 . Sin embargo, aún existen dificultades para el diagnóstico de la fascioliasis hepática.…”

“…De igual manera, se pueden usar imágenes como técnicas de diagnóstico. Un hallazgo sugerente de fascioliasis hepática son lesiones de tipo nodular o tubulares hipodensas que varían desde 20 a 30 mm de diámetro; éstas sobretodo se encuentran en el área subcapsular hepática 11,13,16 . El fármaco de elección para la infección por F. hepatica es triclabendazol a una dosis de 10 mg/kg, por uno o dos días; en general, es bien tolerado 12,17 .…”

Role of the apparent diffusion coefficient measurement by diffusion weighted magnetic resonance imaging in the diagnosis of Fasciola hepatica in the liver

“…6,14 There is only one report that has considered the role of DWMRI fi ndings in the diagnosis of hepatobiliary fascioliasis. 17 According to this report, hepatic lesions of Fasciola hepatica were observed as hyperintense on DWMRI and were referred to as continuation of necrotic or abscessforming materials. 17 However, the diffusion gradient measured in this case report was not defi ned, so the Apparent diffusion coeffi cient (ADC) values are ×10 −3 mm 2 /s * Statistically signifi cant difference between the measured ADC value of the focal liver lesion or parenchyma and parenchymal Fasciola hepatica lesion.…”

“…17 According to this report, hepatic lesions of Fasciola hepatica were observed as hyperintense on DWMRI and were referred to as continuation of necrotic or abscessforming materials. 17 However, the diffusion gradient measured in this case report was not defi ned, so the Apparent diffusion coeffi cient (ADC) values are ×10 −3 mm 2 /s * Statistically signifi cant difference between the measured ADC value of the focal liver lesion or parenchyma and parenchymal Fasciola hepatica lesion. P < 0.05 was considered signifi cant a Average of b = 100, b = 600, and b = 1000 hyperintensity of the parenchymal lesion on DWMRI might be due to the T2 shine-through effect of diffusion gradient.…”

Multiple Leberherde und Eosinophilie – ein Fallbericht einer Fasciola hepatica-Infektion

“…größere zystische Läsionen beschrieben [33][34][35]. Demgegenüber stellen sich bandförmige oder verzweigende Veränderungen häufig dar, die den Migrationswegen der Egel durch die Leber entsprechen.…”