Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share By
Multiple Liver and Jejunal Abscesses Due to Fasciola Flat Worm: An Uncommon Case Report From Iran Publisher Pubmed



Alian S1 ; Shayesteazar S1 ; Soleymani E1 ; Yazdani F2 ; Azimi MR1 ; Fakhar M3
Authors

Source: Acta Parasitologica Published:2024


Abstract

Introduction: Fascioliasis is a zoonotic condition precipitated by the trematode known as Fasciola spp. This parasite affected almost 2.4 to 17 million individuals in the world. The occurrence of liver abscesses is an infrequent phenomenon, potentially arising as a secondary outcome of cholangitis or hepatic inflammation. In this study, we have reported a case of a hepatic abscess induced by Fasciola spp. Case Report: A 29-year-old male presented with generalized abdominal discomfort, primarily concentrated in the right upper quadrant, which had progressively worsened over the past seven months. The patient did mention a weight loss of approximately 10 kg during the course of their illness, along with increasing fatigue. Eosinophilia was seen too (35%). The stool exam test was negative. An enteroscopy was conducted, revealing no pathological abnormalities. Following this, the surgeon prescribed a surgical biopsy of the mass, which yielded a diagnosis of multiple eosinophilic granulomatous abscesses within the jejunal wall and mesentery. The Fasciola IgG test returned a positive result. After of follow-up, the patient fully recovered. Conclusion: Fascioliasis should be considered in the differential diagnoses of liver abscesses. Because of earlier diagnosis, can be avoided of invasive diagnostic tests and therapeutic interventions can be started earlier. © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024.
Other Related Docs
12. Hypereosinophilia in a Three-Year-Old Child: Case Report, Tehran University Medical Journal (2020)
13. Liver Abscess Due to Appendicitis: A Case Report, Frontiers in Emergency Medicine (2025)
14. Appendiceal Hydatid Cyst in a 5-Year-Old Child: A Case Report, Journal of Pediatric Surgery Case Reports (2024)
18. Prevalence of Fasciolosis in Livestock and Humans: A Systematic Review and Meta-Analysis in Iran, Comparative Immunology# Microbiology and Infectious Diseases (2019)
19. A Case of Primary Biliary Tuberculosis With Subsequent Pulmonary Presentation, Archives of Clinical Infectious Diseases (2018)