While Fasciola hepatic tends to migrate to the hepatobiliary system, sometimes it gets lost and ends up somewhere else. Making the diagnosis in this situation can be difficult and requires a high index of suspicion.
Ectopic Site
Complication(s)
colon
mimic a colon cancer
subcutaneous fat
eosinophilic panniculitis
skin
subcutaneous nodules, larva migrans
pancreas
pancreatitis
pleural space and/or lungs
pyothorax, pneumothorax
pericardium
pericarditis
meninges and/or brain
lymph nodes
lymphadenopathy
epididymis
stomach
Patients with ectopic sites of involvement may have:
(1) abdominal pain
(2) recurrent fevers
(3) eosinophilia
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