nemoci-sympt/HEPATOLOGIE/cysty-jater/mikrofilarie

Cystic microfilarial infestation of the liver: a rare presentation

Inflammatory pseudo-tumours of the liver are rare and are often difficult to differentiate from malignancy.
•The presentation is similar, with pain and a mass lesion associated with fever, jaundice, etc.
•Ultrasound examination and contrast-enhanced computed tomography remain the cornerstone of diagnosis.
•Often, if the lesion is deemed resectable on imaging, primary surgery is offered; unresectable lesions have to be established by fine needle aspiration cytology (FNAC) before neoadjuvant treatment.
•Cystic filarial pseudo-tumour of the liver is an extremely rare entity and has not been described in the literature.
•Gall bladder cancer with liver metastasis is a common occurrence in the Indian subcontinent as compared to the West.
•The diagnosis relies on imaging and is confirmed with FNAC in large unresectable lesions.
•This case had a similar presentation and FNAC was required to establish the diagnosis.
•The presence of cystic liver lesions, eosinophilia, and a normal gall bladder wall were other distinguishing features.
•In view of the microfilaria and Charcot–Leyden crystals on FNAC and the persistent pain, a conservative surgery was done.
•This was combined with diethylcarbamazine, the primary medical treatment of filariasis, with a good outcome.https://www.sciencedirect.com/science/article/pii/S1201971214017251