Hepatic Fascioliasis due to Fasciola hepatica: A Two-Case Report
Rangsima Aroonroch MD*, Suchin Worawichawong MD*, Prawat Nitiyanant MD*, Auchai Kanchanapitak MD**, Sukhum Bunyaratvej MD*
Affiliation : * Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University ** Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Two cases of hepatic fascioliasis due to Fasciola hepatica were retrieved from our surgical-pathol- ogy file since the hospital’s foundation in 1969 up to 2005. The diagnosis of hepatic fascioliasis was based on detection of one live fluke in a large cystic lesion in the lobectomized liver specimen in one case and of deposited eggs in the large liver specimen obtained from open biopsy in the other. Hepatic fascioliasis is rather rare and almost worldwide in distribution including Thailand. The diagnosis should be considered in the patient from endemic areas consisting of the northern, northeastern and upper-central regions of the country, with a history of ingesting fresh water plants or drinking untreated water, and having fever, right- upper-quadrant pain or intrahepatic cystic lesion(s) together with absolute peripheral blood eosinophilia.
Keywords : Hepatic fascioliasis, Fasciola hepatica
