Fascioliasis is a zoonose parasitic disease
caused by Fasciola hepatica and Fasciola gigantica and is
widespread in most regions of the world. Ectopic fascioliasis
usually caused by juvenile Fasciola spp., but in
recent years a few cases of tissue-embedded ova have been
reported from different endemic areas. A 79-year-old Iranian
man resident in Eird-e-Mousa village from Ardabil
Province, north-west of Iran, complained with abdominal
pain, nausea, and intestinal obstruction symptoms referred
to Ardabil Fatemi hospital. In laparotomy multiple intestinal
masses with peritoneal seeding resembling of a
malignant lesion were seen. After appendectomy and peritoneal
mass biopsy with numerous intraperitoneal adenopathy,
paraffin embedded blocks were prepared from
each tissues. A blood sample was taken from the patient
5 months later for serological diagnosis. Histopathological
examination of sections showed fibrofatty stroma with
dense mixed inflammatory cells infiltration and fibrosis in
peritoneal masses. Large numbers of ova of Fasciola spp.
were noted with typical circumscribed granulomas. Despite
of anti-fasciola treatment, IHA test for detecting anti F.
hepatica antibodies was positive 5 months after surgery
with a titer of 1/128. Due to multiple clinical manifestation
of extra-hepatic fascioliasis, its differential diagnosis from
intraperitoneal tumors or other similar diseases should be
considered
