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2019, Volume 35, Number 1, Page(s) 058-060
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DOI: 10.5146/tjpath.2016.01367 |
Fascioliasis: A Rare Parasitic Infection-Mimicking Tumor in the Liver: Report of Two Cases |
Emine ŞAMDANCI1, Nurhan ŞAHİN1, Adile Ferda DAĞLI2, Ayşe Nur AKATLI1, Nasuhi Engin AYDIN3 |
1Department of Pathology, İnönü University, Faculty of Medicine, Malatya, Turkey
2Fırat University, Faculty of Medicine, Elazığ, Turkey
3Katip Çelebi University, Faculty of Medicine, İzmİr, Turkey |
Keywords:
Fascioliasis, Liver, Hepatectomy, Charcot-Leyden crystals |
Fascioliasis is a rarely encountered parasitic infection in Turkey that mainly affects the liver and bile ducts. Other defined localizations of the
parasite are the lungs, gastrointestinal system, and subcutaneous fatty tissue. Two cases of female patients who presented to the hospital with
abdominal pain and whose physical examination and laboratory findings were normal except peripheral eosinophilia, were detected to have
liver masses with necrotic areas. Segmental hepatectomies were performed in both cases with the preliminary diagnosis of liver tumors. Upon
microscopic examinations of the resection materials, necrotic granulomatous inflammation with eosinophilic reaction at the periphery and the
parasite (Fasciola hepatica) were seen. Both cases were reported to be fascioliasis according to these findings. Two cases of fascioliasis mimicking
malignancy in the liver are presented here together with literature findings.
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