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Fascioliasis: A challenging differential diagnosis for radiologists
Ourania Preza1, Ioanna Klapa1, Aristotelis Tsiakalos2
1Department of Radiology, National and Kapodistrian University of Athens, Aretaieion Hospital, Athens, Greece.
Abstract:
We report a case of a 39 year old male who presented with nausea and right upper quadrant pain. Marked eosinophilia and a hypoechoic liver lesion on ultrasound were identified. The differential diagnosis included neoplasms, infectious diseases and hepatic abscess. Indirect hemagglutination test using purified adult Fasciola hepatica f1Ag confirmed serologic diagnosis of fascioliasis. Radiologists should keep in mind the importance of correlating imaging, clinical and laboratory findings in order to reach the correct diagnosis.
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