Girma Abdulkerim, Belete Yegzeru, Afework Solomon, Bisrat Teshale
Department of Radiology, Washington Healthcare, Addis Ababa, Ethiopia.
School of medicine, College of medicine and health sciences, Hawassa university, Hawassa, Ethiopia.
IDCases. 2024 Jul 30;37:e02045. doi: 10.1016/j.idcr.2024.e02045. eCollection 2024.
Human fascioliasis, caused by Fasciola hepatica and Fasciolagigantica, is a neglected tropical disease of increasing public health significance. Reported cases are rare, with only one serologically confirmed instance in Ethiopia to date. We present the case of a male patient in his late twenties, without identified risk factors, who presented with bilateral upper quadrant pain persisting for a year and a history of repeated treatment for H. pylori gastritis. Initial ultrasound findings prompted further investigation with abdominal CT, contrast-enhanced MRI, and MRCP, leading to a diagnostic shift confirmed by a positive enzyme-linked assay for Fasciola hepatica. This case highlights the diagnostic challenges and the critical role of radiological imaging-ultrasound, CT, and MRIin identifying key features such as biliary dilation and parenchymal abnormalities, crucial for early detection and effective management of human fascioliasis.
由肝片吸虫和巨片吸虫引起的人体片形吸虫病是一种被忽视的热带疾病，其公共卫生意义日益凸显。报告的病例很少，迄今为止在埃塞俄比亚仅有一例经血清学确诊的病例。我们报告一例28岁左右的男性患者，无明确危险因素，出现双侧上腹部疼痛持续一年，并曾反复治疗幽门螺杆菌胃炎。最初的超声检查结果促使进一步进行腹部CT、增强磁共振成像（MRI）和磁共振胰胆管造影（MRCP）检查，酶联免疫吸附测定法检测肝片吸虫呈阳性，从而证实了诊断的转变。该病例突出了诊断挑战以及放射影像学检查（超声、CT和MRI）在识别诸如胆管扩张和实质异常等关键特征方面的关键作用，这些特征对于人体片形吸虫病的早期检测和有效管理至关重要。
