J Korean Surg Soc.  2004 Jun;66(6):526-529.

Ectopic Paragonimiasis Presented as Omental Cystic Masses

Affiliations
  • 1Department of Sugery, Chonbuk National University Medical School, Jeonju, Korea. kimjhun@moak.chonbuk.ac.kr
  • 2Department of Pathology, Chonbuk National University Medical School, Jeonju, Korea.

Abstract

Ectopic paragonimiasis has been diagnosed in many organs, such as the mesentery, peritoneum, omentum, diaphragm, pleura, liver, ovary, central nervous system and subcutis. However, simultaneous involvement of the peritoneum, mesentery and omentum is relatively unusual. A 52 years old woman, who visited our hospital because of abdominal pain, is the subject of this report. A CT scan showed an approximate 3.9x9.0 cm sized omphalomesenteric duct cyst in the left paraumbilical area of abdomen. An explorative laparotomy was performed, and the pathologic diagnosis was nonspecific chronic inflammation, with diffuse foreign body granuloma due to parasitic eggs. Postoperatively, the immunoserologic test for paragonimus wetermani was positive. A case of peritoneal, mesenteric and omental paragonimiasis, presenting as omental cystic masses, is presented, with a brief review of the literature.

Keyword

Paragonimiasis; Ectopic; Omental

MeSH Terms

Abdomen
Abdominal Pain
Central Nervous System
Diagnosis
Diaphragm
Eggs
Female
Granuloma, Foreign-Body
Humans
Inflammation
Laparotomy
Liver
Mesentery
Middle Aged
Omentum
Ovary
Ovum
Paragonimiasis*
Paragonimus
Peritoneum
Pleura
Tomography, X-Ray Computed
Vitelline Duct
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