Heterotopic Paragonimiasis Presented by Intraabdominal Masses

Ah Young Kim

doi:10.4166/kjg.2013.61.6.351

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Kim: Heterotopic Paragonimiasis Presented by Intraabdominal Masses

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Korean J Gastroenterol 2013;61(6):351-353.

Published online: 4 October 2013

DOI: https://doi.org/10.4166/kjg.2013.61.6.351

Heterotopic Paragonimiasis Presented by Intraabdominal Masses

Ah Young Kim

Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

Correspondence to: Ah Young Kim, Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Korea. Tel: +82-2-3010-4400, Fax: +82-2-476-4795, E-mail: aykim@amc.seoul.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

1. Jeong WK, Kim Y, Kim YS, et al. Heterotopic paragonimiasis in the omentum. J Comput Assist Tomogr. 2002; 26:1019–1021.

2. Dawes B. Advances in parasitology. Vol. 3. London, New York: Academic Press;1965.

3. Kim EM, Kim JL, Choi SI, Lee SH, Hong ST. Infection status of freshwater crabs and crayfish with metacercariae of Paragonimus westermani in Korea. Korean J Parasitol. 2009; 47:425–426.

4. Chi JG, Sung RH, Cho SY. Tissue parasitic diseases in Korea. J Korean Med Sci. 1988; 3:51–62.

5. Jeong MG, Yu JS, Kim KW, et al. Retroperitoneal paragonimiasis: a case of ectopic paragonimiasis presenting as periureteral masses. J Comput Assist Tomogr. 1999; 23:696–698.

6. Hahn ST, Park SH, Kim CY, Shinn KS. Adrenal paragonimiasis simulating adrenal tumor–a case report. J Korean Med Sci. 1996; 11:275–277.

7. Lee IS, Jeong JH, Lee BI, Kang SB. A case of pelvic paragonimiasis combined with cervical carcinoma. Korean J Obstet Gynecol. 1989; 32:1006–1010.

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Fig. 1.

Contrast-enhanced chest CT. (A) Bronchiectatic change with peribronchial cavitary lesion (thin arrow) and nodule (thick arrow) were presented on axial CT images. (B) Aggregated low-density nodular lesions along paratracheal area (arrowhead) and right subphrenic space (arrow) were presented on coronal image.

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Fig. 2.

Axial images of contrast-enhanced abdomen CT demonstrated conglomerated cyst-like low density masses (arrows) in perihepatic and cardiophrenic space (A), omentum (B), and pelvis (C).

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Fig. 3.

Fine needle aspiration cytology, obtained from perihepatic and peribronchial lesions, showed eggs of Paragonimus westermani (arrows) with eosinophil-dominant inflammatory cells (H&E, ×400).

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