{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T06:39:35Z","timestamp":1770705575912,"version":"3.49.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,15]]},"abstract":"<jats:p>Fascioliasis is a zoonotic disease that can sometimes affect humans. It presents with non-specific signs and symptoms which makes it difficult to establish an early definitive diagnosis. This can be particularly true in non-endemic countries where a high degree of suspicion is needed to make the diagnosis. Another confounding factor is that many of the initial complains and findings are very similar to those of malignancy. We report a case of an otherwise healthy 47 year-old male presenting with abdominal pain, night-time sweating, anorexia, weight loss and loose stools that had several hepatic nodules visible in the abdominal CT scan. Although the initial hypothesis was hepatic malignancy or liver metastasis of unknown primary neoplasm, the workup performed led us to the correct diagnosis. He was treated successfully for hepatic fascioliasis, with a full recovery.<\/jats:p>","DOI":"10.1136\/bcr-2017-220363","type":"journal-article","created":{"date-parts":[[2017,5,31]],"date-time":"2017-05-31T03:30:21Z","timestamp":1496201421000},"page":"bcr-2017-220363","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Fascioliasis\u2014a rare cause of hepatic nodules"],"prefix":"10.1136","volume":"2017","author":[{"given":"Helena","family":"Temido","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Oliveira-Santos","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Parente","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e8lita","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,5,31]]},"reference":[{"key":"2025082800534549000_2017.may30_3.bcr-2017-220363.1","first-page":"185","article-title":"Seis casos de Fasciola hepatica","volume":"10","author":"Calretas","year":"2003","journal-title":"Medicina Interna"},{"key":"2025082800534549000_2017.may30_3.bcr-2017-220363.2","first-page":"213","article-title":"Fascioliase hep\u00e1tica","volume":"10","author":"Tavares","year":"1997","journal-title":"Acta M\u00e9dica Portuguesa"},{"key":"2025082800534549000_2017.may30_3.bcr-2017-220363.3","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.13-0085"},{"key":"2025082800534549000_2017.may30_3.bcr-2017-220363.4","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1590\/S0036-46651996000100013","article-title":"Hepatic fascioliasis: case report and review","volume":"38","author":"Abdul-Hadi","year":"1996","journal-title":"Rev Inst Med Trop Sao Paulo"},{"key":"2025082800534549000_2017.may30_3.bcr-2017-220363.5","first-page":"340","article-title":"Epidemiology of human fascioliasis: a review and proposed new classification","volume":"77","author":"Mas-Coma","year":"1999","journal-title":"Bull World Health Organ"},{"key":"2025082800534549000_2017.may30_3.bcr-2017-220363.6","unstructured":"O\u2019Neill SM , Fascioliasis DJP . Epidemiology of human fascioliasis: a review and proposed newclassification. Philadelphia, PA: BMJ Publishing Group, 2003."},{"key":"2025082800534549000_2017.may30_3.bcr-2017-220363.7","first-page":"1385","article-title":"Diagnosis and management of hepatic fascioliasis mimicking intrahepatic cholangiocarcinoma: a case report","volume":"10","author":"Lin","year":"2017","journal-title":"Int J Clin Exp Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-220363","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:53:53Z","timestamp":1756367633000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-220363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,31]]},"references-count":7,"alternative-id":["10.1136\/bcr-2017-220363"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-220363","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,31]]}}}