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총수담관 및 간내 종양으로 오인하기 쉬운 간질증 4예

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Author(s)
김용훈강구정권중혁
Keimyung Author(s)
Kim, Yong HoonKang, Koo JeongKwon, Jung Hyeok
Department
Dept. of Surgery (외과학)
Dept. of Radiology (영상의학)
Journal Title
Korean Journal of Hepatology
Issued Date
2005
Volume
11
Issue
2
Keyword
Hepatic fascioliasisCommon hepatic ductIntrahepatic tumor
Abstract
Human fascioliasis is a zoonosis caused by Fasciola hepatica,and this is a trematode that infests cattle and sheep. Humans are accidental hosts in the life cycle of this parasite. People are infected by ingestion of the water or the raw aquatic vegetables that are contaminated with the metacercaria. This fluke's worldwide distribution occurs in areas where sheep,cattle and goats are raised,and there is a life-cycle niche for this fluke in lymnaeid snails. However,it is a rare disease in Korea. We experienced four human fascioliasis which were difficult to differentiate from hepatic malignancy in three patients,and this was misdiagnosed as common hepatic duct tumor in one patient. The patients manifested only vague abdominal symptoms. Intrahepatic fascioliasis showed multiple ill-defined hypoattenuating lesions and filling defects of the lesion lumens on radi이ogic study. A striking eosinophilia from the patients' blood was identified and a positive finding of a serum enzyme linked immunosorbent assay for the Fasci이a hepatica was also noted in three of four patients. The therapeutic trial with triclabendazole and praziquantel was not successful. (Korean J Hepatol 2005;11:169-175) Key Words: Hepatic fascioliasis,Common hepatic duct,Intrahepatic tumor
Alternative Title
Four Cases of Hepatic Fascioliasis Mimicking Cholangiocarcinoma
Keimyung Author(s)(Kor)
김용훈
강구정
권중혁
Publisher
School of Medicine
Citation
김용훈 et al. (2005). 총수담관 및 간내 종양으로 오인하기 쉬운 간질증 4예. Korean Journal of Hepatology, 11(2), 169–175.
Type
Article
ISSN
1738-222x
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34563
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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