fresh water plants. Mesocolon abscess by ectopic fascioliasis should be given a thought in the differential diagnosis of patients exposed to fresh water plants.

CASE RECORD
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A 56-year-old female was admitted to a local hospital with discomfort and pain in the left lower quadrant of the abdomen for 10 days. The patient had a surgical history of appendectomy 4 years ago. She had never traveled abroad. She had taken extracts from lotus leaf and mixed plants for a few months.

She was admitted after the symptom onset 10 days later (21 October 2011); an abscess was found in the left lower paracolic gutter by abdominal CT and the patient was treated with oral antibiotics. Twenty days after the first CT, on a follow-up CT, 2 additional abscesses were found at thesplenic flexure in the left upper quadrant area and the pelvic cavity. Her symptoms did not improve despite the antibiotic therapy.

She was transferred to our hospital on 10 November 2011. At that time, physical examination revealed tenderness in the left lower quadrant of the abdomen. A blood test showed eosinophilia. WBC count was 8,200/μl, and the proportion of eosinophils was 13.8%. CRP was 7.41 mg/dl, and serum electrolytes and liver enzymes were within normal range. An abdominal CT showed 3 abscesses in the left upper quadrant, mesentery, and pelvic cavity. On the 11th hospital day after transfer (21 November 2011), a 4th abdominal CT was performed. Two abscesses were found in the anterior aspect of the distal transverse colon (4 cm) and the interbowel space of the left