. 2006; 21(4): 197-199 | |||
A Case report, imitating metastatic liver cancer radiologicaly: Fasciola HepaticaZeki Aydın1, Ahmet Akın1, Didem Aydın1, Muharrem Koçar1, Aylin Ege Gül2, Rahmi Irmak1, İlyas Tuncer3, Mustafa Yaylacı11Dr. Lutfi Kirdar Kartal Training and Research Hospital, II. Internal Medicine, Istanbul2Dr. Lutfi Kirdar Kartal Training and Research Hospital, Department of Pathology, Istanbul 3Goztepe Training and Research Hospital, Gastroentereoloj Clinic, Istanbul Fasciola hepatica, a zoonotic liver fluke, can also cause disease in humans. Common symptoms are epigastric pain, upper abdominal pain and malaise. Fever and arthralgia are common in acute fascioliasis. Eosinophilia is the predominant laboratory finding, especially in patients with the acute form of the disease. Diagnosis is not easy, as physicians rarely encounter this disease. A 25 years old man was admitted to the clinic with severe right upper abdominal pain. There was a two-month history of mild jaundince, trembling and fever. Abnormal laboratory findings were as follows: alanin aminotranspherase: 77U/L, aspartat aminotranspherase: 55U/L, alkalen phosphatase: 648 U/L (N: 11-49) gamma glutamyl transpeptidase: 142 U/L (N: 11-49). Abdomen ultrasonography and magnetic resonance imaging (MRI) revealed multiple, 1,5 cm sized lesions of which biggest was 1.5 cm, compatible with metastasis. Other systems were normal. Since 40 % eosinophilias were present in peripheral blood, fecal examination Radyolojik olarak metastatik karaciğer tümörü ile karışan bir olgu: Fasciola hepaticaZeki Aydın1, Ahmet Akın1, Didem Aydın1, Muharrem Koçar1, Aylin Ege Gül2, Rahmi Irmak1, İlyas Tuncer3, Mustafa Yaylacı11Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi, II. Dahiliye Kliniği, İstanbul2Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi, Patoloji Kliniği, İstanbul 3Göztepe Eğitim ve Araştırma Hastanesi, Gastroentereoloji Kliniği, İstanbul Anahtar Kelimeler: Fasciola hepatica, metastatik karaciğer kanseri, eosinofili Zeki Aydın, Ahmet Akın, Didem Aydın, Muharrem Koçar, Aylin Ege Gül, Rahmi Irmak, İlyas Tuncer, Mustafa Yaylacı. A Case report, imitating metastatic liver cancer radiologicaly: Fasciola Hepatica. . 2006; 21(4): 197-199 Corresponding Author: Zeki Aydın, Türkiye |
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