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Fascioliasis observed during laparoscopic cholecystectomy
U Bengisun1, S Ozbas, U Sarioglu
1Ankara University Medical School, Department of General Surgery, Turkey.
Langenbeck'S Archives of Surgery
|June 15, 1999
Summary
Fascioliasis, a rare liver fluke infection, was unexpectedly diagnosed in a patient presenting with abdominal pain and suspected gallbladder disease. Peritoneal implants, initially mimicking cancer, revealed the true diagnosis through histopathology.
Area of Science:
- * Parasitology
- * Gastroenterology
- * Surgical Pathology
Background:
- * Fascioliasis is a zoonotic disease caused by Fasciola hepatica, typically acquired through ingesting contaminated water or aquatic vegetables.
- * Human infection occurs accidentally, with the liver fluke establishing in the biliary system.
Observation:
- * A patient presented with right upper abdominal pain and nausea, initially diagnosed with cholelithiasis via ultrasonography.
- * Peripheral blood eosinophilia was noted, but other laboratory tests were unremarkable.
- * During laparoscopic cholecystectomy, peritoneal implants resembling carcinomatosis were observed.
Findings:
- * Histopathological examination of peritoneal implant biopsies confirmed Fascioliasis.
- * This case highlights an unusual presentation of Fasciola hepatica infection.
Implications:
- * Fascioliasis should be considered in the differential diagnosis of unexplained abdominal pain and peritoneal lesions, especially in endemic areas.
- * Diagnostic challenges underscore the importance of histopathological confirmation in atypical presentations.
- * Early and accurate diagnosis is crucial for appropriate management and to avoid misdiagnosis as malignancy.