{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T17:09:20Z","timestamp":1770829760218,"version":"3.50.1"},"reference-count":16,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hepatic fascioliasis is a foodborne zoonosis that can mimic hepatobiliary malignancy and occasionally requires surgery when diagnosis is uncertain or when a focal complicated lesion is not amenable to endoscopic or medical management. We report 2 cases managed at a military-associated surgical center in Ukraine involving civilian employees of the Armed Forces of Ukraine working in rear-area, non-combat facilities. Case 1: a 38-year-old man with more than 1 year of right upper quadrant pain and a subcapsular tract-like lesion in hepatic segment VI. Eosinophils and cholestatic enzymes were not elevated. Laparoscopic segment VI resection was performed, and histopathology demonstrated necrotizing inflammation with degenerated Fasciola fragments. Case 2: a 51-year-old woman with nausea, vomiting, back pain, and a brief episode of jaundice; imaging showed a lesion in segment VII extending into segment VI. Preoperative leukocytosis with marked neutrophilia was present, but eosinophil count and full liver biochemistry were not available in the preoperative record. Laparoscopic segment VII resection was performed, and histopathology showed necrotizing inflammation compatible with fascioliasis-related tissue injury. Both patients recovered without postoperative complications and were discharged; triclabendazole was prescribed postoperatively as a precaution. These cases highlight diagnostic pitfalls, including absent or incomplete \u201cclassic\u201d laboratory signs, and support laparoscopic resection as a safe option in selected patients when malignancy cannot be excluded and endoscopic therapy is unlikely to succeed, with particular relevance to military health systems.<\/jats:p>","DOI":"10.1093\/milmed\/usag012","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T12:54:20Z","timestamp":1767963260000},"source":"Crossref","is-referenced-by-count":0,"title":["Surgical Treatment of Hepatic Fascioliasis in Two Civilian Employees of the Armed Forces of Ukraine: A Case Report"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9181-2578","authenticated-orcid":false,"given":"Andrii V","family":"Husiev","sequence":"first","affiliation":[{"name":"Department of Liver Surgery and TransplantationState institute \u201cNational Scientific Center of Surgery and Transplantology (NSCST) Named After O.O. Shalimov , Kyiv, 03680,","place":["Ukraine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3333-8473","authenticated-orcid":false,"given":"Oleksii O","family":"Popov","sequence":"additional","affiliation":[{"name":"Department of Liver Surgery and TransplantationState institute \u201cNational Scientific Center of Surgery and Transplantology (NSCST) Named After O.O. Shalimov , Kyiv, 03680,","place":["Ukraine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8779-0831","authenticated-orcid":false,"given":"Mark E","family":"Krol","sequence":"additional","affiliation":[{"name":"Department of Liver Surgery and TransplantationState institute \u201cNational Scientific Center of Surgery and Transplantology (NSCST) Named After O.O. Shalimov , Kyiv, 03680,","place":["Ukraine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6038-8532","authenticated-orcid":false,"given":"Oleksandr M","family":"Ostapyshen","sequence":"additional","affiliation":[{"name":"Department of Liver Surgery and TransplantationState institute \u201cNational Scientific Center of Surgery and Transplantology (NSCST) Named After O.O. Shalimov , Kyiv, 03680,","place":["Ukraine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8105-593X","authenticated-orcid":false,"given":"Pavlo O","family":"Dubovetskyi","sequence":"additional","affiliation":[{"name":"Hematology ClinicNational Military Medical Clinical Center \u201cMain Military Clinical Hospital , Kyiv, 01133,","place":["Ukraine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7002-6631","authenticated-orcid":false,"given":"Svitlana A","family":"Husieva","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Ukrainian Military Medical Academy , Kyiv, 04053,","place":["Ukraine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9564-9825","authenticated-orcid":false,"given":"Ian P","family":"Goncharov","sequence":"additional","affiliation":[{"name":"Hematology ClinicNational Military Medical Clinical Center \u201cMain Military Clinical Hospital , Kyiv, 01133,","place":["Ukraine"]},{"name":"Department of Internal Medicine, Ukrainian Military Medical Academy , Kyiv, 04053,","place":["Ukraine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3611-1658","authenticated-orcid":false,"given":"Taras Ye","family":"Matsiievskyi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Oberig Clinic , Kyiv, 03057,","place":["Ukraine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3896-5040","authenticated-orcid":false,"given":"Alina S","family":"Sukach","sequence":"additional","affiliation":[{"name":"Department of Liver Surgery and TransplantationState institute \u201cNational Scientific Center of Surgery and Transplantology (NSCST) Named After O.O. Shalimov , Kyiv, 03680,","place":["Ukraine"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"2026021111134761300_usag012-B1","doi-asserted-by":"publisher","first-page":"650","DOI":"10.1016\/j.pt.2023.05.009","article-title":"One health for fascioliasis control in human endemic areas","volume":"39","author":"Mas-Coma","year":"2023","journal-title":"Trends Parasitol"},{"key":"2026021111134761300_usag012-B2","doi-asserted-by":"publisher","DOI":"10.37774\/9789275128084","volume-title":"Operational Guidelines for Elimination of Human Fascioliasis as a Public Health Problem by 2030","author":"World Health Organization (PAHO)","year":"2024"},{"key":"2026021111134761300_usag012-B3","doi-asserted-by":"publisher","first-page":"20499361231185413","DOI":"10.1177\/20499361231185413","article-title":"The global prevalence of human fascioliasis: a systematic review and meta-analysis","volume":"10","author":"Rosas-Hostos Infantes","year":"2023","journal-title":"Ther Adv Infect Dis"},{"key":"2026021111134761300_usag012-B4","doi-asserted-by":"publisher","first-page":"e12","DOI":"10.1017\/S0022149X23000950","article-title":"Advances in diagnostic approaches to fasciola infection in animals and humans: an overview","volume":"98","author":"Aftab","year":"2024","journal-title":"J Helminthol."},{"key":"2026021111134761300_usag012-B5","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1186\/s40794-024-00234-z","article-title":"Significance of climate change in the emergence of human fascioliasis in upper Egypt","volume":"10","author":"Zanaty","year":"2024","journal-title":"Trop Dis Travel Med Vaccines"},{"key":"2026021111134761300_usag012-B6","doi-asserted-by":"publisher","first-page":"13","DOI":"10.2147\/RRTM.S397138","article-title":"An update on the pathogenesis of fascioliasis","volume":"15","author":"Tanabe","year":"2024","journal-title":"Res Rep 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