Fascioliasis hepática que simularon tumores hepáticos

Two cases of hepatic fascioliasis which simulated hepatic tumors are presented: Patient 1. (42-year-old woman), presented pain in the epigastric and right hypochondrium. US, CAT and MNR suggested a cholangiocarcinoma. She was operated on by practicing hepatic segmentectomy, cholecystectomy and closi...

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Autores principales:	Sapunar,Jorge, Braghetto,Italo, Díaz,Juan Carlos, Brahm,Javier, Apt,Werner, Carreño,Laura, Poniachick,Jaime
Lenguaje:	Spanish / Castilian
Publicado:	Programa de Parasitología. Instituto de Ciencias Biomédicas. Facultad de Medicina. Universidad de Chile 2001
Materias:	fascioliasis colangiocarcinoma hamartoma triclabendazol
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0365-94022001000200006
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spelling	oai:scielo:S0365-940220010002000062009-01-28Fascioliasis hepática que simularon tumores hepáticosSapunar,JorgeBraghetto,ItaloDíaz,Juan CarlosBrahm,JavierApt,WernerCarreño,LauraPoniachick,Jaime fascioliasis colangiocarcinoma hamartoma triclabendazol Two cases of hepatic fascioliasis which simulated hepatic tumors are presented: Patient 1. (42-year-old woman), presented pain in the epigastric and right hypochondrium. US, CAT and MNR suggested a cholangiocarcinoma. She was operated on by practicing hepatic segmentectomy, cholecystectomy and closign of a cholecystogastric fistula. The extirpated hepatic segment presented a tumoral aspect, but its histopathological study revealed numerous granulomas, some of them with F. hepatica eggs and others with Charcot - Leyden crystals. ELISA and complement fixation reaction for fascioliasis resulted positive. Search of F. hepatica eggs in stools was negative. The patient was treated with triclabendazole. Patient 2. (58-year-old woman) also presented pains in the upper hemiabdomen. Hypereosinophilia (32%). Abdominal CAT showed multiple hipondense irregular zones suggesting infiltrative processes in the liver right lobe. The hepatic biopsy, under CAT, eventhough lead to think in a hamartoma, a diagnosis of chronic cholangitis compatible with a parasitic etiology raised. ELISA and complement fixation reaction for fascioliasis were positive. Coproparasitological exams for F. Hapatica resulted negative. She was successfully treated with triclabendazole. Hapatic fascioliasis simulates numerous diseases, among them hepatic tumors.info:eu-repo/semantics/openAccessPrograma de Parasitología. Instituto de Ciencias Biomédicas. Facultad de Medicina. Universidad de ChileBoletín chileno de parasitología v.56 n.3-4 20012001-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0365-94022001000200006es10.4067/S0365-94022001000200006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	fascioliasis colangiocarcinoma hamartoma triclabendazol
spellingShingle	fascioliasis colangiocarcinoma hamartoma triclabendazol Sapunar,Jorge Braghetto,Italo Díaz,Juan Carlos Brahm,Javier Apt,Werner Carreño,Laura Poniachick,Jaime Fascioliasis hepática que simularon tumores hepáticos
description	Two cases of hepatic fascioliasis which simulated hepatic tumors are presented: Patient 1. (42-year-old woman), presented pain in the epigastric and right hypochondrium. US, CAT and MNR suggested a cholangiocarcinoma. She was operated on by practicing hepatic segmentectomy, cholecystectomy and closign of a cholecystogastric fistula. The extirpated hepatic segment presented a tumoral aspect, but its histopathological study revealed numerous granulomas, some of them with F. hepatica eggs and others with Charcot - Leyden crystals. ELISA and complement fixation reaction for fascioliasis resulted positive. Search of F. hepatica eggs in stools was negative. The patient was treated with triclabendazole. Patient 2. (58-year-old woman) also presented pains in the upper hemiabdomen. Hypereosinophilia (32%). Abdominal CAT showed multiple hipondense irregular zones suggesting infiltrative processes in the liver right lobe. The hepatic biopsy, under CAT, eventhough lead to think in a hamartoma, a diagnosis of chronic cholangitis compatible with a parasitic etiology raised. ELISA and complement fixation reaction for fascioliasis were positive. Coproparasitological exams for F. Hapatica resulted negative. She was successfully treated with triclabendazole. Hapatic fascioliasis simulates numerous diseases, among them hepatic tumors.
author	Sapunar,Jorge Braghetto,Italo Díaz,Juan Carlos Brahm,Javier Apt,Werner Carreño,Laura Poniachick,Jaime
author_facet	Sapunar,Jorge Braghetto,Italo Díaz,Juan Carlos Brahm,Javier Apt,Werner Carreño,Laura Poniachick,Jaime
author_sort	Sapunar,Jorge
title	Fascioliasis hepática que simularon tumores hepáticos
title_short	Fascioliasis hepática que simularon tumores hepáticos
title_full	Fascioliasis hepática que simularon tumores hepáticos
title_fullStr	Fascioliasis hepática que simularon tumores hepáticos
title_full_unstemmed	Fascioliasis hepática que simularon tumores hepáticos
title_sort	fascioliasis hepática que simularon tumores hepáticos
publisher	Programa de Parasitología. Instituto de Ciencias Biomédicas. Facultad de Medicina. Universidad de Chile
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0365-94022001000200006
work_keys_str_mv	AT sapunarjorge fascioliasishepaticaquesimularontumoreshepaticos AT braghettoitalo fascioliasishepaticaquesimularontumoreshepaticos AT diazjuancarlos fascioliasishepaticaquesimularontumoreshepaticos AT brahmjavier fascioliasishepaticaquesimularontumoreshepaticos AT aptwerner fascioliasishepaticaquesimularontumoreshepaticos AT carrenolaura fascioliasishepaticaquesimularontumoreshepaticos AT poniachickjaime fascioliasishepaticaquesimularontumoreshepaticos
_version_	1718438090561814528

Fascioliasis hepática que simularon tumores hepáticos

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