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英文誌(2004-)

Journal of Medical Ultrasonics

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1986 - Vol.13

Vol.13 No.05

Case Report(症例報告)

(0375 - 0383)

ヒト肝蛭症2例の超音波所見

Ultrasonic Findings in Two Patients with Human Fascioliasis

尹 聖哲1, 中田 邦也1, 河原 啓1, 佐伯 進1, 老籾 宗忠1, 馬場 茂明1, 辻 守康2

Seitetsu YOON1, Kuniya NAKATA1, Akira KAWARA1, Susumu SAEKI1, Munetada OIMOMI1, Shigeaki BABA1, Moriyasu TSUJI2

1神戸大学医学部第二内科, 2広島大学医学部寄生虫学

1The Second Department of Internal Medicine, Kobe University School of Medicine, 2The Department of Parasitology, Hiroshima University School of Medicine

キーワード : Fascioliasis, Ultrasound

 We experienced two cases of human fascioliasis which were diagnosed according to clinical symptoms, laboratory data-high eosinophilia, slight elevation of AL-P, gamma-GTP and LAP-and by immunological method (Ouchterlony double immunodiffusion test), although parasite eggs in their feces and bile juice were undetected.
 Ultrasonogram showed a characteristic echo pattern, which was located mainly in the liver surface and was irregular in shape with inhomogeneous echogenesity, indicating cystic structure in part.
 After treatment, the characteristic echo pattern became smaller or disappeared. Therefore ultrasonography seems to be a useful tool for the diagnosis of human fascioliasis.