Hematoma subcapsular por Fasciolasis

Abstract

Liver subcapsular hematoma caused by Fasciola hepatica. Report of one caseWe report a 60 years old female admitted for pain in the right upper quadrant of the abdomen, vomiting and fever. Initial laboratory showed leukocytosis with 56% of eosinophils. An abdominal CAT scan showed a subcapsular fluid collection in the liver. The patient was operated and the presence of a subcapsular hematoma was confirmed. Blood serological tests were positive for Fasciola hepatica. The patient was treated with tricabendazole and after one year of follow up, is in good conditions. Key words: Fasciola hepatica, subcapsular hematoma, liver. ResumenPresentamos el caso de una paciente de sexo femenino de 60 años de edad, ingresada en nuestro centro hospitalario por cuadro agudo de dolor abdominal en hipocondrio derecho asociado a vómitos y fiebre. Destaca la presencia de leucocitosis con eosinofilia de 56%. La tomografía computarizada abdominal muestra una colección subcapsular hepática. Durante su evolución presenta abdomen agudo, realizándose una laparoscopía exploratoria que confirma un hematoma subcapsular con presencia de hemoperitoneo de escasa cuantía. La serología confirma infección por fasciola hepática. Se realizó su tratamiento con triclabendazol en monodosis. Además, realizamos una revisión de la literatura nacional e internacional sobre el tema, sus manifestaciones clínicas, métodos diagnósticos y tratamiento.Palabras clave: Fasciolasis, hematoma subcapsular hepático espontáneo, eosinofilia.

Fascioliasis prevalence in livestock from abattoirs in southern Chile

“…The second most infected productive species was equine with 18.3 (1.59) % where the parasitosis was similar to previous reports on fascioliasis in equines. Morales et al (2009) reported 12.3%, a similar study found 13.54% (Apt et al 1993) and a recent work described 10.4% in racehorses (Muñoz et al 2008). In the other species, our results showed that goats reach 1.29 (1.35) % as opposed to the findings of Morales and Luengo (2000) with 14%.…”

“…There are few reports of the prevalence of the parasite in Chile, including human fascioliasis case reports (López et al 2004, Morales et al 2009, Rosas et al 2008, Venturelli et al 2003 and a case report on resistance to triclabendazole treatment in the Metropolitana region (Gil et al 2014). Fascioliasis, as a problem of veterinary concern, is mainly absent from the epidemiological and public health context, with only one report on the prevalence in endemic areas during the late 1980s (Apt et al 1993) mainly concentrated in the centre and south of the country where the main productive activity is located.…”

NumerousFasciolaplasminogen-binding proteins may underlie blood-brain barrier leakage and explain neurological disorder complexity and heterogeneity in the acute and chronic phases of human fascioliasis

“…In fascioliasis, among the highly severe complications described in patients, there are reports on haemorrhages and haematomas (Lortat-Jacob et al ., 1960; Piquet et al ., 1986; Sauvage et al ., 1996; Martinez et al ., 2002; Loja et al ., 2003; Rosas et al ., 2008; Morales et al ., 2009), as well as bleeding (Goodman et al ., 1973), several of them fatal cases reported from children (Bannerman and Manzur, 1986; Acuña-Soto and Braun-Roth, 1987; Almendras-Jaramillo et al ., 1997). In none of these cases were neurological manifestations reported.…”

The US Supreme Court in Sessions v Morales-Santana: Preventing Statelessness for Children Born Abroad

“…17 The majority decision, written by Justice Ginsburg, struck down the exception for unwed mothers, applying the ten-year rule to all US citizens living abroad. 18…”