Fasciola hepatica infestation masquerading as hydatid cysts of the liver
DOI:
https://doi.org/10.63521/pjg.42.1.2026.31Keywords:
Fasciola Infection, ERCP, Hydatid CystAbstract
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.
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Copyright (c) 2026 Faisal ali, Muslim Atiq, Zafar ali, Muhammad Rehan Javed, Ahmad Faruqui (Author)

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