scholarly journals Acute biliary obstruction with cholestasis caused by Fasciola hepatica in a patient travelled to Turcmenistan (a case report and literature review)

2016 ◽  
Vol 21 (2) ◽  
pp. 92-98
Author(s):  
Alexander M. Bronshteyn ◽  
N. A Malyshev ◽  
L. V Fedianina ◽  
I. V Davydova
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Magnetic Resonance ◽  
Clinical Outcome ◽  
Biliary Obstruction ◽  
Fasciola Hepatica ◽  
Endoscopic Retrograde ◽  
Dark Urine ◽  
First Case ◽  
Antiparasitic Treatment

The paper describes the case of Fasciola hepatica in patient from Turkmenistan presenting with icterus, biliary-type pain, dark urine and jaundice. Magnetic resonance (MRC) and endoscopic retrograde cholangiography (ERC) were performed and after sphincterotomy one Fasciola hepatica was extracted. After the ERC antiparasitic treatment was given with triclabendazole. Clinical outcome was favourable. In conclusion, fascioliasis should be considered in the differential diagnosis of obstructive jaundice, especially in patients travelled to endemic regions, and it should be kept in mind that ERC and triclabendazole play an important role in the diagnosis and treatment of these patients. To our knowledge, this is the first case report of Fasciola hepatica treated by ERC in Russia.

scholarly journals An incidental case of biliary fascioliasis with subtle clinical findings: US and MRCP findings

2013 ◽  
Vol 47 (2) ◽  
pp. 125-127
Author(s):  
Hakan Önder ◽  
Faysal Ekici ◽  
Emin Adin ◽  
Suzan Kuday ◽  
Hatice Gümüş ◽  
...  
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Magnetic Resonance ◽  
Biliary Obstruction ◽  
Fasciola Hepatica ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Clinical Findings ◽  
Imaging Studies ◽  
Laboratory Findings ◽  
Acoustic Shadow

Background. Fascioliasis is a disease caused by the trematode Fasciola hepatica. Cholangitis is a common clinical manifestation. Although fascioliasis may show various radiological and clinical features, cases without biliary dilatation are rare. Case report. We present unique ultrasound (US) and magnetic resonance cholangiopancreatography (MRCP) findings of a biliary fascioliasis case which doesn’t have biliary obstruction or cholestasis. Radiologically, curvilinear parasites compatible with juvenile and mature Fasciola hepatica within the gallbladder and common bile duct were found. The parasites appear as bright echogenic structures with no acoustic shadow on US and hypo-intense curvilinear lesions on T2 weighted MRCP images. Conclusions. Imaging studies may significantly contribute to the diagnosis of patients with subtle clinical and laboratory findings, particularly in endemic regions.

scholarly journals Human case of fasciolosis in Serbia treated with triclabendazole

2014 ◽  
Vol 71 (2) ◽  
pp. 202-206 ◽  
Author(s):  
Milorad Pavlovic ◽  
Zorica Dakic ◽  
Branko Milosevic ◽  
Milos Korac ◽  
Branko Brmbolic ◽  
...  
Keyword(s):  
Alkaline Phosphatase ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Fasciola Hepatica ◽  
Human Case ◽  
Tropical Diseases ◽  
Quadrant Abdominal Pain ◽  
Biochemical Analyses ◽  
Rule Out

Introduction. The number of humans infected by Fasciola hepatica is increasing worldwide. Humans can become accidental hosts by ingesting drinking water or plants contaminated with metacercariae. Case report. We reported a case of a 68-year-old Serbian woman, in which the diagnosis of acute fasciolosis had been established after serious diagnostic concerns. Based on clinical picture (episodic right upper quadrant abdominal pain, febrility and generalized body pain) and biochemical analyses (high eosinophilia and high activity of alkaline phosphatase), she was appointed as suspected to the acute fasciolosis. Stool and duodenal aspirate exams were negative for Fasciola ova. In the absence of adequate serologic diagnostic for fasciolosis in Serbia, the diagnosis was confirmed using enzyme immunoassays and immunoblot at the Institute for Tropical Diseases in Hamburg, Germany. Soon after triclabendazole was administered, the symptoms disappeared and biochemical values returned to normal. Conclusion. The diagnosis of human fasciolosis may be problematic and delayed, especially in non endemic areas, because physicians rarely encounter this disease and a long list of other diseases must be considered in the differential diagnosis. The syndrome of eosinophilia, fever, and right upper quadrant abdominal pain suggest acute fasciolosis. Unclear source does not rule out fasciolosis.

Living Liver Donor With Fasciola Hepatica: First Case Report in the Literature

2018 ◽  
Author(s):  
Sami Akbulut ◽  
◽  
Tevfik Tolga Sahin ◽  
Mehmet Kolu ◽  
Burak Isik ◽  
...  
Keyword(s):  
Case Report ◽  
Fasciola Hepatica ◽  
Liver Donor ◽  
Living Liver Donor ◽  
First Case

scholarly journals Solitary Fibrous Tumor of the Postcricoid Region: A Case Report and Literature Review

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Brian Cervenka ◽  
Brenda Villegas ◽  
Uttam Sinha
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Solitary Fibrous Tumor ◽  
Management Strategies ◽  
The Body ◽  
Surgical Approaches ◽  
Current Management ◽  
First Case ◽  
Mesenchymal Neoplasm ◽  
Fibrous Tumor

Solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm that can present essentially anywhere in the body. Presentations in the hypopharynx are extremely rare with only two previous cases reported. We report the first case of postcricoid SFT occurring in a 58-year-old male requiring a microsuspension laryngoscopy excision following an unsuccessful transoral robotic attempt. The excision was uneventful, and the patient is currently without recurrence. Current management strategies of the hypopharyngeal SFT, the unique differential diagnosis, and challenges in surgical approaches in the postcricoid region are discussed.

scholarly journals Bullough’s bump: unusual protuberant fibro-osseous tumor of the temporal bone. Case report

2018 ◽  
Vol 21 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Bowen Jiang ◽  
Harry Mushlin ◽  
Lei Zhang ◽  
Aaron W. James ◽  
Alan R. Cohen
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Temporal Bone ◽  
Histological Examination ◽  
Pediatric Neurosurgery ◽  
Intracranial Extension ◽  
En Bloc ◽  
Postoperative Course ◽  
Fibrous Stroma ◽  
First Case

Scalp and calvarial masses are common in children and the differential diagnosis is broad. The authors recently cared for a child with an unusual fibro-osseous lesion of the temporal bone that has previously not been described in the pediatric neurosurgery literature. A 10-year-old girl presented with a firm, slowly enlarging protuberant mass arising from the squamous suture of the temporal bone without intracranial extension. The mass was removed en bloc through a temporal craniectomy and cranioplasty was performed. The patient had a smooth postoperative course. Histological examination showed multiple oval osseous islands dispersed throughout a bland fibrous stroma. The pathological diagnosis was “Bullough’s bump,” a rare, benign fibro-osseous neoplasm first described in 1999, and only 8 reported cases appear in the literature. Here the authors report the first case of Bullough’s bump in a child.

scholarly journals Progression of Hepatic Adenoma to Carcinoma in the Setting of Hepatoportal Sclerosis in HIV Patient: Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
M. I. Montenovo ◽  
F. G. Jalikis ◽  
M. Yeh ◽  
J. D. Reyes
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Liver Disease ◽  
Clinical Presentation ◽  
Final Diagnosis ◽  
Hepatic Adenoma ◽  
Review Of The Literature ◽  
Patient Case ◽  
Hepatoportal Sclerosis ◽  
First Case

We report a case of hepatic adenoma progression to carcinoma in the setting of hepatoportal sclerosis in an HIV+ patient and provide a review of the scarce literature regarding hepatoportal sclerosis in HIV patients. We describe the clinical presentation, diagnostic workup, and management. This is the first case report in the literature of progression of hepatic adenoma to carcinoma in hepatoportal sclerosis in an HIV patient. This case also highlights the broad differential diagnosis that should always be included in the study of any liver disease in this patient population, including the performance of invasive and aggressive tests to arrive at the final diagnosis.

scholarly journals Pseudotumor cerebri induced by topical application of steroid: a case report

2019 ◽  
Vol 47 (7) ◽  
pp. 3435-3437 ◽  
Author(s):  
Yousef Mohammad ◽  
Bandar N. Aljafen ◽  
Mohammed S. Alnafisah ◽  
Fawaz A. Al-Hussain
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Topical Steroid ◽  
Pseudotumor Cerebri ◽  
First Case ◽  
Pseudotumor Cerebri Syndrome ◽  
Neurology Clinic ◽  
Neuro Imaging ◽  
The Brain ◽  
Tomography Scan

A 19-year-old man visited the neurology clinic for evaluation of a headache and pulsating tinnitus that he had experienced for 2 months. A neurological examination was normal, except for bilateral disc swelling. His medical history was notable for recently diagnosed psoriasis for which he had been applying topical hydrocortisone 2.5% three to four times a day. Neuro-imaging with a computed tomography scan and magnetic resonance imaging/magnetic resonance venography of the brain was normal, except for tortuosity of the optic nerves and dilatation of the optic nerve sheaths. Pseudotumor cerebri syndrome was suspected. Unfortunately, the patient refused a spinal tap to measure the cerebrospinal fluid opening pressure. Excessive application of topical steroid was believed to be the cause of the patient’s pseudotumor cerebri syndrome. The patient’s headache and disc swelling improved after treatment with acetazolamide and cessation of topical hydrocortisone. This is the first case report of a topical steroid associated with pseudotumor cerebri syndrome.

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