Gastric Pseudotumor due to Fasciola hepatica

A 71-year-old man presented with abdominal pain and weight loss. He had epigastric tenderness on examination. Basic studies revealed anemia and eosinophilia. A computed tomography scan showed a mass in the anterior wall of the stomach. Endoscopic studies revealed a subepithelial lesion in the same a...

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Bibliographic Details
Published in:	ACG case reports journal Vol. 6; no. 9; p. e00173
Main Authors:	Calixto-Aguilar, Lesly, Vasquez-Rios, George, Contreras-Grande, Jheferson, Ramos-Castillo, Wilder, Guzmán-Calderón, Edson
Format:	Journal Article
Language:	English
Published:	Maryland, MD Wolters Kluwer 01-09-2019
Subjects:	Case Report
Online Access:	Get full text
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Summary:	A 71-year-old man presented with abdominal pain and weight loss. He had epigastric tenderness on examination. Basic studies revealed anemia and eosinophilia. A computed tomography scan showed a mass in the anterior wall of the stomach. Endoscopic studies revealed a subepithelial lesion in the same area. An exploratory laparotomy was conducted to rule out any malignancy, revealing a mass fixed to the transverse colon and stomach. Biopsy samples showed eosinophilic nodules and multiple cystic structures compatible with Fasciola hepatica . The patient was treated with triclabendazole with complete resolution. Gastric pseudotumor secondary to F. hepatica is a rare but treatable disease.
ISSN:	2326-3253 2326-3253
DOI:	10.14309/crj.0000000000000173