Subcapsular Liver Hematoma: One of the Many Faces of Acute Fascioliasis

Jorge Alave; Mey Leon; Angelica Terashima; Fatima Concha-Velasco; Eduardo Gotuzzo; Carlos Seas; Miguel M Cabada

doi:10.1093/ofid/ofae554

Subcapsular Liver Hematoma: One of the Many Faces of Acute Fascioliasis

Open Forum Infect Dis. 2024 Sep 23;11(10):ofae554. doi: 10.1093/ofid/ofae554. eCollection 2024 Oct.

Authors

Jorge Alave^{1

2}, Mey Leon¹, Angelica Terashima¹, Fatima Concha-Velasco³, Eduardo Gotuzzo¹, Carlos Seas^{1

4}, Miguel M Cabada^{1

5}

Affiliations

¹ Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru.
² Departamento de Emergencia, Hospital Nacional Cayetano Heredia, Lima, Peru.
³ Hospital Antonio Lorena, Universidad Nacional San Antonio Abad del Cusco, Cusco, Peru.
⁴ Departamento de Enfermedades Infecciosas, Tropicales y Dermatológicas, Hospital Nacional Cayetano Heredia, Lima, Peru.
⁵ Division of Infectious Diseases, University of Texas Medical Branch, Galveston, Texas, USA.

Abstract

Subcapsular liver hematoma is an uncommon and underdiagnosed manifestation of fascioliasis. We report 6 cases and review 21 previous reports. The mean age was 51 years; 12 cases were from Peru; and 18 were women. Only 6 patients required surgical drainage. Medical management is the mainstay treatment.

Keywords: fascioliasis; subcapsular liver hematoma; zoonosis.