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The Korean Journal of Pathology 1997;31(4): 357-360.
Ectopic Paragonimiasis Presented as Multiple Colonic and Liver Masses.
Hye Sung Kim, Young Soo Lee, Yun Kyung Kang, Hye Kyung Lee, Jun Hee Kim, Hyuk Sang Lee
1Department of Pathology, Inje University Seoul Paik Hospital, Seoul 100-032, Korea.
2Department of Surgery, Inje University Seoul Paik Hospital, Seoul 100-032, Korea.
3Department of Internal Medicine, Inje University Seoul Paik Hospital, Seoul 100-032, Korea.
Ectopic paragonimiasis has been diagnosed in many organs such as the mesentery, ovary, pleura, central nervous system, subcutis and very rarely in the liver. However, simultaneous involvement of the colon and liver, which mimics colonic cancer with liver metastasis, is quite unusual, and to our knowledge has never been reported. Our case is a 63 year old woman who visited our hospital because of upper abdominal pain. Radiologically, space occupying lesions were detected in the transverse colon, mesocolon and left hepatic lobe. After the radical presection, they were proved to be an ectopic paragonimiasis forming multiple cavitary parasitic granulomas with Charcot-Leyden crystals and degenerating eggs.
Key Words: Ectopic paragonimiasis; Transverse colon; Liver
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