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Sung Tae Hong,Soon Hynug Lee,Je Geun Chi,*Tae Sook Lee,Chi Young Lee,Bo Yang Suh,** and Young Hyun Lee***
Departent of Parasitology, Pathology* and Institute of Endemic Diseases, College of Medicine, Seoul National University, Seoul, 110, Korea.
Department of Pathology, General Surgery** and Internal Medicine***, College of Medicine, Yeung Nam University, Taegu, 634, Korea.
Abstract
The authors would record the fifth case of human fascioliasis in Korea, occurring in a 48 year old Korean man who lived in Munkyong, Kyongsangbuk-do. The diagnosis was based on the morphology and measurements of the eggs which were collected in necrotic debris from the tunnel-like ulcerations of the gallbladder wall which was surgically removed for a gall stone. Although we failed to find out the fluke in the specimen, there found an evidence of once presence of Fasciola in the inflamed wall of the gallbladder in this patient.
Figures
Figs. 1-5 Fig. 1. A portion of a thickedned gallbladder wall near the neck, showing irregular ragged ulcerations and tunnel-like lesions(arrows).
Fig. 2. Photomicrograph of the gallbladder wall, showing inflammatory exudate filling the ulceration, in which two eggs (arrow) are seen, HE stained, ×40.
Fig. 3. An egg (arrow) in amorphous material in a mucosal gland, HE stained, ×40.
Fig. 4. Disfigured eggs (arrows) in necrotic debris inside the tunnel-like lesion, He stained, ×40.
Fig. 5. A whole egg harvested in scratched material from the necrotic focus of the gallbladder wall.
Tables
Table 1 Measurements of the eggs from gallbladder wall
Table 2 Summary of human fascioliasis cases in Korea
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