Hüseyin KAÇMAZ, Elif Tuğba TUNCEL, Berat EBİK, Feyzullah UÇMAK, Muhsin KAYA, Kendal YALÇIN

F-18-FDG PET/BT’de kolanjiosellüler kanseri taklit eden Fasciola hepatica vakası

İnsan fasioliazisi, Fasciola hepatica ve Fasciola gigantica’nın neden olduğu, dünya genelinde nadir görülen zoonotik bir hastalıktır. Genellikle çiftlik hayvanlarını etkileyen bir trematod olup insan rastlantısal ara konakçıdır. Spesifik olmayan semptom ve bulgularının birçok hepatobiliyer hastalıkta izlenebilmesi nedeniyle fasioliazisin tanı ve tedavisi gecikebilmektedir. Elli üç yaşında kadın hasta 18-Florodeoksi-glukoz pozitron emisyon bilgisayaralı tomo-grafi incelemesinde ekstrahepatik safra yollarında yüksek florodeoksi-glukoz tutulumu nedeniyle kliniğimize başvurdu. Hastada son 3 aydır süren karın ağrısı, kaşıntı ve halsizlik yakınmaları mevcuttu. Kolanjiyosellüler kanseri taklit eden ve serolojik olarak tanısı konan biliyer fasioliazisli bu vakayı sunacağız.

Anahtar Kelimeler:

Fasciola hepatica, kolanjiyosellüler kanser, F-18-FDG PET/BT

A case of fascioliasis mimicking cholangiocellular carcinoma on (18) F-FDG PET/CT

Human fascioliasis is a rare zoonotic disease caused by Fasciola hepatica and Fasciola gi-gantica. Humans may be coincidental intermediate hosts of these trematodes that usually affect livestock. Nonspecific signs and symptoms of this disease may also occur in several other hepatobiliary diseases, which potentially leads to a delay in diagnosis and treatment. A 53-year-old female patient was admitted to our clinic due to high fluorodeoxyglucose uptake in the extrahepatic bile ducts on the (18) F-fluoro-2-deoxy-D-glucose positron emission tomog-raphy scan. She had symptoms including abdominal pain, pruritus, and malaise lasting for the last 3 months. We present the case of this patient with biliary fascioliasis that mimicked chol-angiocellular carcinoma and was diagnosed serologically.

Keywords:

Fasciola hepatica, cholangiocellular carcinoma, (18) F-FDG PET/CT,

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