Öz
İnsan fasioliazisi, Fasciola hepatica ve Fasciola gigantica’nın neden olduğu, dünya genelinde nadir görülen zoonotik bir hastalıktır. Genellikle çiftlik hayvanlarını etkileyen bir trematod olup insan rastlantısal ara konakçıdır. Spesifik olmayan semptom ve bulgularının birçok hepatobiliyer hastalıkta izlenebilmesi nedeniyle fasioliazisin tanı ve tedavisi gecikebilmektedir. Elli üç yaşında kadın hasta 18-Florodeoksi-glukoz pozitron emisyon bilgisayaralı tomo-grafi incelemesinde ekstrahepatik safra yollarında yüksek florodeoksi-glukoz tutulumu nedeniyle kliniğimize başvurdu. Hastada son 3 aydır süren karın ağrısı, kaşıntı ve halsizlik yakınmaları mevcuttu. Kolanjiyosellüler kanseri taklit eden ve serolojik olarak tanısı konan biliyer fasioliazisli bu vakayı sunacağız.
Anahtar Kelimeler
Kaynakça
- 1. Bassily S, Iskander M, Youssef FG, et al. Sonography in diagnosis of fascioliasis. Lancet 1989;8649:1270-1.
- 2. Kaplan M, Kuk S, Kalkan A, et al. Fasciola hepatica seroprevalence in the Elazig region. Mikrobiyol Bul 2002;36:337-42.
- 3. Miman Ö, Özkeçeci T, Okur N, et al. A rare cause of obstructive jaundice: fascioliasis. Turkiye Parazitol Derg 2010;34:190-2.
- 4. Arjona R, Riancho JA, Aguado JM, et al. Fascioliasis in developed countries: a review of classic and aberrant forms of the disease. Medicine (Baltimore) 1995;74 :13-23.
- 5. Harinasuta T, Bunnag D. Liver, lung and intestinal trematodiasis. In: Warren KS, Mahmoud AF, (eds.) Tropical and Geographical Diseases. New York: McGraw-Hill, 2nd ed. 1990;473-89.
- 6. Ezzat RF, Karboli TA., Kasnazani KA, Hamawandi AM. Endoscopic management of biliary fascioliasis: a case report. J Med Case Rep 2010;4:83.
- 7. Arslan F, Batirel A, Samasti M, et al. Fascioliasis: 3 cases with three different clinical presentations. Turk J Gastroenterol 2012;23:267-71.
- 8. Kodama K, Ohnishi H, Matsuo T, Matsumura T. Three cases of human fascioliasis. Kan-senshogaku Zasshi 1991;62:1620-4.
- 9. Dusak A, Onur MR, Cicek M, et al. Radiological imaging features of Fasciola hepatica infection - a pictorial review. J Clin Imaging Sci 2012; 2:2.
- 10. Ma KW, Cheung TT, She WH, et al. Diagnostic and prognostic role of 18-FDG PET/CT in the management of resectable biliary tract cancer. World J Surg 2017;Sep17. doi:10.1007/s00268-017-4192-3 (Epub ahead of print).
- 11. Şenateş E, Doğan A, Şenates BE, et al. An incidental case of biliary fascioliasis mimick-ing cholangiocellular carcinoma. Infez Med 2014;22:313-6.
- 12. Kang BK, Jung BK, Lee YS, et al. A case of Fasciola hepatica infection mimicking chol-angiocarcinoma and ITS-1 sequencing of the worm. Korean J Parasitol 2014;52:193-6.
- 13. Sürücü E, Demir Y, Dülger AC, et al. Fasciola Hepatica Mimicking Malignancy on 18F-Fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography. Mol Imag-ing Radionucl Ther 2016;25:143-6.
Öz
Human fascioliasis is a rare zoonotic disease caused by Fasciola hepatica and Fasciola gi-gantica. Humans may be coincidental intermediate hosts of these trematodes that usually affect livestock. Nonspecific signs and symptoms of this disease may also occur in several other hepatobiliary diseases, which potentially leads to a delay in diagnosis and treatment. A 53-year-old female patient was admitted to our clinic due to high fluorodeoxyglucose uptake in the extrahepatic bile ducts on the (18) F-fluoro-2-deoxy-D-glucose positron emission tomog-raphy scan. She had symptoms including abdominal pain, pruritus, and malaise lasting for the last 3 months. We present the case of this patient with biliary fascioliasis that mimicked chol-angiocellular carcinoma and was diagnosed serologically.
Anahtar Kelimeler
Fasciola hepatica cholangiocellular carcinoma (18) F-FDG PET/CT
Kaynakça
- 1. Bassily S, Iskander M, Youssef FG, et al. Sonography in diagnosis of fascioliasis. Lancet 1989;8649:1270-1.
- 2. Kaplan M, Kuk S, Kalkan A, et al. Fasciola hepatica seroprevalence in the Elazig region. Mikrobiyol Bul 2002;36:337-42.
- 3. Miman Ö, Özkeçeci T, Okur N, et al. A rare cause of obstructive jaundice: fascioliasis. Turkiye Parazitol Derg 2010;34:190-2.
- 4. Arjona R, Riancho JA, Aguado JM, et al. Fascioliasis in developed countries: a review of classic and aberrant forms of the disease. Medicine (Baltimore) 1995;74 :13-23.
- 5. Harinasuta T, Bunnag D. Liver, lung and intestinal trematodiasis. In: Warren KS, Mahmoud AF, (eds.) Tropical and Geographical Diseases. New York: McGraw-Hill, 2nd ed. 1990;473-89.
- 6. Ezzat RF, Karboli TA., Kasnazani KA, Hamawandi AM. Endoscopic management of biliary fascioliasis: a case report. J Med Case Rep 2010;4:83.
- 7. Arslan F, Batirel A, Samasti M, et al. Fascioliasis: 3 cases with three different clinical presentations. Turk J Gastroenterol 2012;23:267-71.
- 8. Kodama K, Ohnishi H, Matsuo T, Matsumura T. Three cases of human fascioliasis. Kan-senshogaku Zasshi 1991;62:1620-4.
- 9. Dusak A, Onur MR, Cicek M, et al. Radiological imaging features of Fasciola hepatica infection - a pictorial review. J Clin Imaging Sci 2012; 2:2.
- 10. Ma KW, Cheung TT, She WH, et al. Diagnostic and prognostic role of 18-FDG PET/CT in the management of resectable biliary tract cancer. World J Surg 2017;Sep17. doi:10.1007/s00268-017-4192-3 (Epub ahead of print).
- 11. Şenateş E, Doğan A, Şenates BE, et al. An incidental case of biliary fascioliasis mimick-ing cholangiocellular carcinoma. Infez Med 2014;22:313-6.
- 12. Kang BK, Jung BK, Lee YS, et al. A case of Fasciola hepatica infection mimicking chol-angiocarcinoma and ITS-1 sequencing of the worm. Korean J Parasitol 2014;52:193-6.
- 13. Sürücü E, Demir Y, Dülger AC, et al. Fasciola Hepatica Mimicking Malignancy on 18F-Fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography. Mol Imag-ing Radionucl Ther 2016;25:143-6.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 25 Eylül 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 26 Sayı: 2 |