%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.