Fasciola hepatica infestation masquerading as hydatid cysts of the liver

Authors

  • Faisal ali Shifa International Hospital Author
  • Muslim Atiq Shifa International Hospital Islamabad Pakistan Author https://orcid.org/0000-0001-5204-8397
  • Zafar ali Shifa International Hospital Islamabad Pakistan Author
  • Muhammad Rehan Javed Shifa International Hospital Islamabad Pakistan Author
  • Ahmad Faruqui Shifa International Hospital Islamabad Pakistan Author

DOI:

https://doi.org/10.63521/pjg.42.1.2026.31

Keywords:

Fasciola Infection, ERCP, Hydatid Cyst

Abstract

Human hepatic fascioliasis has been reported in 81 countries, some of which are endemic areas. Fascioliasis is a re-emerging food-borne parasitic zoonosis which presents with nonspecific clinical symptoms. Hepatobiliary fascioliasis is one of the rare but important parasitic infections in endemic areas such as Pakistan. Definitive diagnosis requires demonstration of parasitic ova in stool which may often be elusive. Imaging plays a crucial role in raising the possibility of this diagnosis early in the disease course. Contrast enhanced CT scan was performed in an 18 years old female with recent history of hydatid cyst excision and sub-hepatic drain placement, who now presented with increased biliary output. Endoscopic retrograde cholangiopancreatography was performed and this liver parasite was removed.

Author Biographies

  • Muslim Atiq, Shifa International Hospital Islamabad Pakistan

    Chief of gastroenterology and hepatology 

    Shifa International Hospital Islamabad, Pakistan

  • Zafar ali, Shifa International Hospital Islamabad Pakistan

    Consultant histopathologist Shifa International Hospital Islamabad

  • Muhammad Rehan Javed, Shifa International Hospital Islamabad Pakistan

    House officer 

    Gastroenterology

    Shifa International hospital

  • Ahmad Faruqui, Shifa International Hospital Islamabad Pakistan

    Medical officer 

    Gastroenterology 

    Shifa international Hospital

Published

2026-05-19

How to Cite

1.
ali F, Muslim Atiq MA, Ali ZA, Muhammad Rehan Javed MRJ, Ahmad Faruqui AF. Fasciola hepatica infestation masquerading as hydatid cysts of the liver. PJG. 2026;42(1):899-902. doi:10.63521/pjg.42.1.2026.31

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