Inflammatory pseudocyst due to Fasciola hepatica: case review
DOI:
https://doi.org/10.35319/conr.20224225Keywords:
Fasciolosis, hepatic pseudocyst, eosinophilia, abdominal ultrasoundAbstract
We present the case of a 33-year-old male from La Paz, Ingavi province, Jesús de Machaca municipality, with a history of pain in the right hypochondrium associated with nausea and vomiting that intensified before admission. On examination, the abdomen was painful on palpation in the epigastrium and right hypochondrium. The liver is palpated 4 fingerbreadths below the costal ridge, haemogram with moderate eosinophilia. Abdominal ultrasound: Heterogeneous hepatic mass, predominantly hypoechogenic, with posterior acoustic enhancement of 43 mm in diameter in the right lobe. CT scan: 44 x 50 mm hypoechoic mass. An exploratory laparotomy was performed due to suspicion of a liver cyst related to parasitosis of etiology to be determined and a cystic lesion was found in segments 6, 7 and 8, which was drained. Antibody detection tests were requested. Immunoelectrophoresis (arc 2) for Fasciola hepatica and arc 5 for Hydatidosis. Eosinophilia persisted and Arc 2 was positive for Fasciola. He received triclabendazole, underwent respective controls and is currently asymptomatic. In conclusion, the invasive phase of human Fascioliasis can cause pseudocystic lesions as a rare complication. The triad of eosinophilia, painful hepatomegaly and prolonged fever, leads to insist on searching for Faciolasis in endemic areas.
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