Juvenile Fasciola gigantica emerging through the skin in a returning traveller.

Keywords: Fasciola; Fasciola gigantica; ectopic migration; liver lesions; skin emergence EN Fasciola Fasciola gigantica ectopic migration liver lesions skin emergence 1 2 2 11/08/23 20230801 NES 230801 Case presentation An asymptomatic 73-year-old Belgian woman, with a history of cholecystectomy and colon cancer in remission 6 years earlier, was found with a high eosinophil count (3890/ l; 40% of the total leucocytes) during a check-up, 3 months after resettlement in Belgium. Fascioliasis should be suspected whenever liver lesions are associated with eosinophilia.[6] In this scenario, a positive serology justifies empirical treatment with triclabendazole, without parasitological confirmation by liver biopsy and/or coprological exams. During the subsequent workup, liver imaging (Figure 1) showed multiple hypermetabolic nodular liver lesions predominantly in the right liver lobe and a hypermetabolic structure between the liver and abdominal wall. [Extracted from the article]