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[Hepatic hematoma caused by fascioliasis]
Karel Martínez-Bebert1, Roberto Rodríguez-Báez, Rafael Pila-Pérez
1Instituto Superior de Ciencias Médicas, Hospital Provincial Clínico Quirúrgico Docente Manuel Ascunce Doménech Camagüey, Cuba.
Gaceta Medica De Mexico
|July 5, 2002
Summary
Two patients with jaundice and eosinophilia were diagnosed with hepatic hematomas caused by fascioliasis after consuming watercress. Surgical intervention confirmed the parasitic liver infection.
Area of Science:
- Hepatology
- Parasitology
- Gastroenterology
Background:
- Fascioliasis is a parasitic disease caused by liver flukes.
- Consumption of contaminated aquatic plants, like watercress, is a common transmission route.
- Hepatic manifestations of fascioliasis can be diverse and challenging to diagnose.
Observation:
- Two patients presented with digestive and general symptoms, including jaundice and eosinophilia.
- One patient also exhibited hepatomegaly.
- Computed tomography (CT) scans suggested hepatic hematomas in both cases.
Findings:
- Laparoscopic study and surgical intervention confirmed hepatic hematomas.
- The definitive diagnosis was hepatic hematoma secondary to fascioliasis.
- Postoperative studies and complementary examinations supported the diagnosis.
Implications:
- This case highlights the importance of considering fascioliasis in patients with unexplained hepatic hematomas and relevant dietary history.
- Early diagnosis and treatment are crucial for managing parasitic liver infections.
- Watercress consumption should be investigated in endemic areas for potential parasitic transmission.