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E C Chang,H L Choi,Y W Park,*Y Kong,** and S Y Cho**
Department of Orthopedic Surgery, College of Medicine, Chung-Ang University, Seoul 156-756, Korea.
Abstract
A 32-year old housewife, living in Seoul, recognized incidentally a painless mass at the left chest wall. During later 3 months, she experienced spontaneous swelling and regression of the mass repeatedly for 4 times. Surgical resection showed a granuloma at anterior serratus muscle containing a nearly matured adult of Fasciola species without vitellaria and uterus. This is the 11th human fascioliasis and the first extra-abdominal infection reported in Korea.
Figures
Figs. 1-4 Fig. 1. Soft tissue swelling at the left lower chest (arrow heads). Compare with the contralateral side.
Fig. 2. Ultrasonography revealed a solid mass with heterogenous echogenicities. Intact cortex of rib is also observed.
Fig. 3. Histologic findings of the main granulomatous mass(H&E, ×40). Cavitary lesion is surrounded by palisading epitheloid cells and inflammatory cell infiltration.
Fig. 4. Immature adult of Fasciola sp. collected from the lesion. Semichon's acetocarmine staining (scale 5mm).
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