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BMJ Case Rep. 2017 May 31;2017. pii: bcr-2017-220363. doi: 10.1136/bcr-2017-220363.

Fascioliasis-a rare cause of hepatic nodules.

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Department of Internal Medicine, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Department of Cardiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.


Fascioliasis is a zoonotic disease that can sometimes affect humans. It presents with non-specific signs and symptoms which makes it difficult to establish an early definitive diagnosis. This can be particularly true in non-endemic countries where a high degree of suspicion is needed to make the diagnosis. Another confounding factor is that many of the initial complains and findings are very similar to those of malignancy. We report a case of an otherwise healthy 47 year-old male presenting with abdominal pain, night-time sweating, anorexia, weight loss and loose stools that had several hepatic nodules visible in the abdominal CT scan. Although the initial hypothesis was hepatic malignancy or liver metastasis of unknown primary neoplasm, the workup performed led us to the correct diagnosis. He was treated successfully for hepatic fascioliasis, with a full recovery.


Foodborne infections; Infection (gastroenterology); Liver disease; Medical education; Public health


Conflict of interest statement

Competing interests: None declared.

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