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.
Zali
Mohammad Reza
MR
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
Ghaziani
Tahereh
T
Shahraz
Saeed
S
Hekmatdoost
Azita
A
Radmehr
Ali
A
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