Fascioliasis presenting as colon cancer liver metastasis on 18F-fluorodeoxyglucose positron emission tomography/computed tomography: A case report

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dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridHarputluoglu, Muhsin Murat Muhip/0000-0002-9415-147X
dc.authoridTurkmen, Samdanci, Emine/0000-0002-0034-5186
dc.authoridOZDEMIR, EGEMEN/0000-0002-8022-8245
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidHarputluoglu, Muhsin Murat Muhip/ABI-3094-2020
dc.authorwosidTurkmen, Samdanci, Emine/ABH-4716-2020
dc.authorwosidOZDEMIR, EGEMEN/GVT-6777-2022
dc.contributor.authorAkbulut, Sami
dc.contributor.authorOzdemir, Egemen
dc.contributor.authorSamdanci, Emine
dc.contributor.authorUnsal, Selver
dc.contributor.authorHarputluoglu, Murat
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:46:46Z
dc.date.available2024-08-04T20:46:46Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND Fascioliasis is caused by watercress and similar freshwater plants or drinking water or beverages contaminated with metacercariae. Fascioliasis can radiologically mimic many primary or metastatic liver tumors. Herein, we aimed to present the treatment process of a patient with fascioliasis mimicking colon cancer liver metastasis. CASE SUMMARY A 35-year-old woman who underwent right hemicolectomy due to cecum cancer was referred to our clinic for management of colon cancer liver metastasis. Both computed tomography and 18F-fluorodeoxyglucose positron emission tomography revealed several tumoral lesions localized in the right lobe of the liver. After a 6-course FOLFOX (folinic acid, fluorouracil, oxaliplatin) and bevacizumab regimen, the hypermetabolic state on both liver and abdominal lymph nodes continued, and chemotherapy was extended to a 12-course regimen. The patient was referred to our institute when the liver lesions were detected to be larger on dynamic liver magnetic resonance imaging 6 weeks after completion of chemotherapy. Right hepatectomy was performed, and histopathological examination was compatible with fascioliasis. Fasciola hepatica lgG enzyme-linked immunosorbent assay was positive. The patient was administered two doses of triclabendazole (10 mg/kg/dose) 24 h apart. During the follow-up period, dilatation was detected in the common bile duct, and Fasciola parasites were extracted from the common bile duct by endoscopic retrograde cholangiopancreatography (ERCP). Triclabendazole was administered to the patient after ERCP. CONCLUSION Parasitic diseases, such as those caused by Fasciola hepatica, should be kept in mind in the differential diagnosis of primary or metastatic liver tumors, such as colorectal cancer liver metastasis, in patients living in endemic areas.en_US
dc.identifier.doi10.4254/wjh.v11.i8.656
dc.identifier.endpage662en_US
dc.identifier.issn1948-5182
dc.identifier.issue8en_US
dc.identifier.pmid31528248en_US
dc.identifier.scopus2-s2.0-85071757376en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage656en_US
dc.identifier.urihttps://doi.org/10.4254/wjh.v11.i8.656
dc.identifier.urihttps://hdl.handle.net/11616/98944
dc.identifier.volume11en_US
dc.identifier.wosWOS:000484137000005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaishideng Publishing Group Incen_US
dc.relation.ispartofWorld Journal of Hepatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectColon cancer liver metastasisen_US
dc.subjectFasciola hepaticaen_US
dc.subjectPositron emission tomographyen_US
dc.subjectMisdiagnosisen_US
dc.subjectCase reporten_US
dc.titleFascioliasis presenting as colon cancer liver metastasis on 18F-fluorodeoxyglucose positron emission tomography/computed tomography: A case reporten_US
dc.typeArticleen_US

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