ABSTRACT
We report here an ectopic case of Fasciola hepatica infection confirmed by recovery of an adult worm in the mesocolon. A 56-year-old female was admitted to our hospital with discomfort and pain in the left lower quadrant of the abdomen. Abdominal CT showed 3 abscesses in the left upper quadrant, mesentery, and pelvic cavity. On surgical exploration, abscess pockets were found in the mesocolon of the sigmoid colon and transverse colon. A leaf-like worm found in the abscess pocket of the mesocolon of the left colon was diagnosed as an adult fluke of F. hepatica. Histologically, numerous eggs of F. hepatica were noted with acute and chronic granulomatous inflammations in the subserosa and pericolic adipose tissues. Conclusively, a rare case of ectopic fascioliasis has been confirmed in this study by the adult worm recovery of F. hepatica in the mesocolon.
Subject(s)
Fasciola hepatica/isolation & purification , Fascioliasis/parasitology , Mesocolon/parasitology , Animals , Fasciola hepatica/genetics , Fascioliasis/diagnosis , Female , Humans , Middle AgedABSTRACT
We report here an ectopic case of Fasciola hepatica infection confirmed by recovery of an adult worm in the mesocolon. A 56-year-old female was admitted to our hospital with discomfort and pain in the left lower quadrant of the abdomen. Abdominal CT showed 3 abscesses in the left upper quadrant, mesentery, and pelvic cavity. On surgical exploration, abscess pockets were found in the mesocolon of the sigmoid colon and transverse colon. A leaf-like worm found in the abscess pocket of the mesocolon of the left colon was diagnosed as an adult fluke of F. hepatica. Histologically, numerous eggs of F. hepatica were noted with acute and chronic granulomatous inflammations in the subserosa and pericolic adipose tissues. Conclusively, a rare case of ectopic fascioliasis has been confirmed in this study by the adult worm recovery of F. hepatica in the mesocolon.
Subject(s)
Animals , Female , Humans , Middle Aged , Fasciola hepatica/genetics , Fascioliasis/diagnosis , Mesocolon/parasitologyABSTRACT
Although there is voluminous literature describing various aspects of hydatid disease in children, little attention has been paid to the small group of patients whose symptoms result in atypical presentation. This article addresses this problem, describing the features in ten children aged from 2 to 12 years. The sites of involvement were within a choledochal cyst (1). the pelvic cavity (1), the spleen (1), and transverse mesocolon. Albendazole was efficacious in the treatment of one recurrent case, as well as in preventing recurrence.
Subject(s)
Echinococcosis/pathology , Adolescent , Albendazole/therapeutic use , Anthelmintics/therapeutic use , Child , Child, Preschool , Choledochal Cyst/parasitology , Echinococcosis/drug therapy , Echinococcosis, Hepatic/drug therapy , Echinococcosis, Hepatic/pathology , Female , Humans , Male , Mesocolon/parasitology , Pelvis/parasitology , Spleen/parasitologyABSTRACT
Rarely observed isolated peritoneal hydatid cysts, without initial hepatic lesions or later development in other viscera, were detected in two patients. The diagnosis of hydatidosis confined to the mesocolon was established pre-operatively in the first case, enabling mebendazole treatment to be instituted. In the second case, however, pre-operative diagnosis was not possible, demonstrating the sometimes misleading appearances found in this affection. Aetiopathogenic and diagnostic features are briefly discussed. Therapy raises problems, and though good results have recently been obtained with benzimidazole derivatives, surgical excision in currently the only curative treatment available. Medical treatment (with benzimidazole derivatives) is indicated only in cases with multiple cysts inaccessible to surgery, or a complementary therapy to facilitate excision, reduce risks of propagation during operation, and prevent recurrences.
