%0 Case Reports
%T Hepatic pseudotumor associated with Strongyloides infection: A case report.
%A Gialanella JP
%A Steidl T
%A Korpela K
%A Grandhi MS
%A Langan RC
%A Alexander HR
%A Hudacko RM
%A Ecker BL
%J World J Hepatol
%V 15
%N 12
%D 2023 Dec 27
%M 38223414
暂无%R 10.4254/wjh.v15.i12.1338
%X BACKGROUND: Strongyloides sterocoralis is a parasitic infection caused by a roundworm that is transmitted through soil contaminated with larvae. It can infrequently cause hepatic abscesses in immunocompromised patients and is rarely reported to form hepatic lesions in immunocompetent hosts.
METHODS: We present a case study of a 45-year-old female who presented with right upper quadrant abdominal pain and constitutional symptoms for several weeks. Cross-sectional imaging identified several malignant-appearing liver masses. Further investigation, including serological testing and histopathologic examination, revealed the presence of serum Strongyloides antibodies and hepatic granulomas with extensive necrosis. Following treatment with ivermectin for 2 wk, there was complete resolution of the liver lesions and associated symptoms.
CONCLUSIONS: This case highlights the importance of considering parasitic infections, such as Strongyloides, in the differential diagnosis of hepatic masses. Early recognition and appropriate treatment can lead to a favorable outcome and prevent unnecessary invasive procedures. Increased awareness among clinicians is crucial to ensure the timely diagnosis and management of such cases.