Liver, spleen, pancreas and kidney involvement by human fascioliasis: imaging findings.
BACKGROUND
Fasciola hepatica primarily involves the liver, however in some exceptional situations other organs have been reported to be involved. The ectopic involvement is either a result of Parasite migration or perhaps eosinophilic reaction.


METHODS
Here we report a known case of multiple myeloma who was under treatment with prednisolone and melphalan. He was infected by Fasciola hepatica, which involved many organs and the lesions were mistaken with metastatic ones.


CONCLUSIONS
Presented here is a very unusual case of the disease, likely the first case involving the pancreas, spleen, and kidney, as well as the liver.
Research Center for Gastroenterology and Liver Diseases, Shaheed Beheshti University of Medical Sciences, PO Box 19857, 7th floor, Taleghani Hospital, Tabnak Ave, Tehran, Iran. zali@rcgld.org
Mohammad Reza
MR
Zali
Tahereh
T
Ghaziani
Saeed
S
Shahraz
Azita
A
Hekmatdoost
Ali
A
Radmehr
D000818:Animals; D003937:Diagnosis, Differential; D005210:Fasciola hepatica / Q000302:isolation & purification; D005211:Fascioliasis / Q000175:diagnosis*; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000469:parasitology*; D008099:Liver / Q000000981:diagnostic imaging / Q000469:parasitology*; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000556:secondary; D010179:Pancreas / Q000000981:diagnostic imaging / Q000469:parasitology*; D013154:Spleen; D014463:Ultrasonography