Uncommon complications of human fascioliasis in Alexandria

ABSTRACT

Fascioliasis is becoming more frequently discovered among citizens of Alexandria. The main presenting clinical manifestations included hepatic pain, colic, fever, anorexia, discomfort with meals and hepatomegaly. This study selected four cases with unusual presentation from patient's record of the last year. One case developed liver abscess due to F. hepatica infection. Two cases were encountered during cholecystectomy in patients suffering from cholecystitis with cholethiasis; in one of them the gall bladder had ruptured and the patient developed an abscess in the liver related to the gall bladder damage. In both cases F. hepatica worms were found in the bile duct. The fourth case presented with a calcular cholecystitis with empyema of the gall bladder