Department of Hepatobiliary Surgery, Second Clinical College, Kunming Medical University, The Second Affiliated Hospital of Kunming Medical College, Kunming, Yunnan Province, China.
Department of Hepatobiliary Surgery, Kunming Medical University, The Second Affiliated Hospital of Kunming Medical College, Kunming, Yunnan Province, China.
J Int Med Res. 2021 Jun;49(6):3000605211012668. doi: 10.1177/03000605211012668.
Paragonimiasis is a disease caused by parasitic infections that mainly involve the lungs. However, it can also produce ectopic infections, such as when the parasites invade the liver, brain and subcutaneous tissue, which then cause different symptoms. This current case report describes a 55-year-old male patient with hepatic paragonimiasis that was misdiagnosed as liver cancer with rupture and haemorrhage. The initial computed tomography findings suggested ruptured liver cancer. The patient underwent laparoscopic right hemihepatectomy. Postoperative pathological analysis resulted in a diagnosis of hepatic paragonimiasis. The patient recovered well postoperatively and was treated with 25 mg/kg praziquantel orally three times a day for 3 days after discharge with good efficacy. In this present case, the rupture and haemorrhage of the liver mass made it difficult for the treating physicians to consider hepatic paragonimiasis, which lead to the initial misdiagnosis of this patient. Although paragonimiasis is very rare, medical staff should be vigilant and have a comprehensive understanding of the different diseases that can cause liver masses so that misdiagnosis can be avoided.
并殖吸虫病是一种由寄生虫感染引起的疾病，主要涉及肺部。然而，它也会产生异位感染，例如当寄生虫侵入肝脏、大脑和皮下组织时，就会导致不同的症状。本病例报告描述了一名 55 岁男性患者，患有肝并殖吸虫病，被误诊为肝癌破裂出血。最初的计算机断层扫描结果提示肝癌破裂。患者接受了腹腔镜右半肝切除术。术后病理分析诊断为肝并殖吸虫病。患者术后恢复良好，出院后给予 25mg/kg 吡喹酮口服，每日 3 次，共 3 天，疗效良好。在本病例中，肝肿块的破裂出血使得治疗医生难以考虑肝并殖吸虫病，导致了该患者的最初误诊。虽然并殖吸虫病非常罕见，但医务人员应保持警惕，全面了解可导致肝肿块的不同疾病，以避免误诊。
