The Hepatic Phase of Fascioliasis Complicated with Liver Bleeding: Presentation of Three Cases

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Tarih

2024

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Iranian Scientific Society Medical Entomology

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Bleeding is a very rare complication of Fasciola species ( F. hepatica or F. gigantica ) infection. We present here three cases of subcapsular liver bleeding caused by the hepatic phase of Fasciola spp. infection in patients, two of whom were women, aged 22, 66, and 84 years in Diyarbakir Province, southeastern Turkey. They had symptoms of right upper quadrant pain (n = 3), nausea (n = 1), and vomiting (n = 2) for periods ranging from 6 hours to 15 days. All patients with clinical presentations ranging from moderate abdominal pain to hypovolemic shock and ischemic hepatitis were improved with supportive treatment without the need for surgery. They showed complete clinical and laboratory recovery after triclabendazole administration in their follow-up. In conclusion, Fasciola spp . infection should be considered in the etiology of bleeding from liver disease.

Açıklama

Anahtar Kelimeler

Fasciola hepatica, Hemorrhage, Liver disease, Shock

Kaynak

Iranian Journal of Parasitology

WoS Q Değeri

Q4

Scopus Q Değeri

Q3

Cilt

19

Sayı

2

Künye