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Case #442 - April, 2017

A 6-year-old child from a community in rural southeastern United States presented with severe upper right abdominal pain, fever, chills, decreased appetite and weight loss.  The child expired 2 weeks after being admitted for symptoms that included hepatitis. At autopsy, a liver biopsy was obtained and processed. Figures A and B show what was observed on a hematoxylin and eosin (H & E) stained liver tissue section at 100x and 500x oil magnification respectively.  What is your diagnosis?  Based on what criteria?

	Case study

Figure A

	Case study

Figure B

Case Answer

This was a case of hepatic capillariasis, a rare but serious illness that is most often found at autopsy.  Morphologic features shown in the figures were:

  • Numerous eggs located in the parenchyma of the liver.
  • Oval-shaped eggs with a thick striated shell and polar prominences consistent with C. hepatica.

More on: hepatic capillariasis

Images presented in the monthly case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.

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  • Page last reviewed: May 11, 2017
  • Page last updated: May 17, 2017
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