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The Korean Journal of Pathology 1991;25(3): 250-255.
A Human Case of Hepatic Fascioliasis Accompanied by Egg Granulomas in Common Bile Duct Lymph Node.
Jun Hyuk Choi, Dogn Sug Kim, Won Hee Choi, Tae Sook Lee, Dong Il Chung, Dong Wik Choi
1Department of Pathology, College of Medicine, Yeungnam University, Taegu, Korea.
2Department of Parasitology, College of Medicine, Kyungbook National University, Taegu, Korea.
A 32-year-old housewife who resides in Taegu was admitted in Yeungman University Hospital due to right upper quadrant abdminal pain of 2 mounths'duration. An abdomical CT and ultrasonography revealed a relatively well demarcated low density mass in the right lobe of liver. Right hepatic lobectomy was performed on the clinical impression of hepatoma. On the light microscopic study, the lobulated liver mass showed extensive central necrosis and fibrosis, with large numbers of pseudotubercles therein. The pseudotubercles have distorted helminthic eggs frequently. The submitted common bile duct lymph node also showed a few pseudotubercles. The eggs recovered from the tissue homogenate measured 140~152 micrometer by 75~85 micrometer in size and were unembryonated and light yellow to brown. The eggs were determined as those of Fasciola species. We reported the present case as 11th one of human fascioliasis in korea.
Key Words: Fasciola; Fasciloiasis; Parasite; Liver; Lymph node
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