Makay Ozer, Gurcu Baris, Caliskan Cemil, Nart Deniz, Tuncyurek Muge, Korkut Mustafa
Ege University Hospital, Department of General Surgery, Bornova, Izmir, Turkey.
World J Gastroenterol. 2007 May 14;13(18):2633-5. doi: 10.3748/wjg.v13.i18.2633.
Fasciola hepatica, a leaf shaped trematode that is common in cattle, sheep and goats, is acquired by eating raw water plants like watercress or drinking water infected with the encysted form of the parasite. The varied clinical presentations of fascioliasis still make a high index of suspicion mandatory. Besides having a wide spectrum of hepatobiliary symptoms like obstructive jaundice, cholangitis and liver cirrhosis, the parasitic infection also has extrabiliary manifestations. Until recently, extrahepatic fascioliasis has been reported in the subcutaneous tissue, brain, lungs, epididymis, inguinal lymph nodes, stomach and the cecum. In this report, a strange manifestation of the fasciola infection in a site other than the liver, a colonic fascioliasis, is presented.
肝片吸虫是一种常见于牛、羊和山羊体内的叶状吸虫，通过食用生水芹等生水植物或饮用受寄生虫包囊形式污染的水而感染。肝片吸虫病多样的临床表现仍使得高度怀疑很有必要。除了有一系列肝胆症状，如梗阻性黄疸、胆管炎和肝硬化外，这种寄生虫感染还有肝外表现。直到最近，已报告肝外肝片吸虫病出现在皮下组织、脑、肺、附睾、腹股沟淋巴结、胃和盲肠。在本报告中，呈现了肝片吸虫感染在肝脏以外部位的一种奇特表现，即结肠肝片吸虫病。
