Background—Fascioliasis is a parasitic infection, primarily of the liver but after several weeks the biliary tract may also be affected, related to the trematodeFasciola hepatica. The trematode is distributed worldwide in herbivores but is unusual in humans. Several outbreaks have been attributed to consumption of contaminated watercress and water. The optimal treatment of fascioliasis, particularly the acute form, is still unknown. We describe a patient with an acute Fasciola hepatica infection following a rare transmission route, who was successfully treated with a simple and safe drug regimen.

Case report—A 36 year old previously healthy Somalian man was admitted to our department with a one week history of right hypochondrial pain. The pain resolved spontaneously within three days. He had come to live in the Netherlands in 1986, and since then had only visited Saudi Arabia for pilgrimage …