A Case Report of Human Fascioliasis Revealed as Retroperitoneal Lymphadenitis

Atsushi Horiuchi, Kenichi Hirata, Katsuhiko Kimura

Department of Surgery, Kitaishikai Hospital

We experinced a case of human fascioliasis with retroperitoneal lymphadenitis indistinguishable from pancreas head cystic tumor. A 49-year-old woman was admitted with high fever. The laboratory data revealed eosinophilia and an elevated level γ-glutamyltranspeptidase (GTP). Computed tomography (CT) showed a cystic lesion about 4 cm in diameter on the pancreas head. We suspected a pancreas head tumor and an operation was performed. The tumor separated from the pancreas head was resected with the paraaortic lymph nodes. Histopathologically the tumor was suppurative lymphadenitis with infilted eosinophils. Two months after the operation, a cluster of multiple liver abscesses was detected by CT. The diagnosis of fascioliasis was established a serological method (Ouchterlony test). After treatment with Bithionol, the multiple liver abscesses and retroperitoneal lymphadenitis disappeared.

Key words
human fascioliasis, retroperitoneal lymphadenitis

Reprint requests
Kenichi Hirata Department of Surgery, Kitaishikai Hospital
2632-3 Tokunomori, Ohzu-shi, 795 JAPAN

Accepted
May 8, 1996

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