Introduction Distomatosis is a parasite infection following ingestion of fo
od contaminated by Fasciola hepatica, the tropism of which is essentially h
epatic. The mechanism of this exceptional complication is discussed in two
cases of pneumothorax.
Observations Two 35 and 60 year-old patients presenting spontaneous pneumot
horax during distomatosis, the first revealing the disease, the second sugg
esting the evolution of a severe form of the disease. The surgical biopsy i
n the first patient revealed a granulomatous pleuro-pneumopathy rich in gia
nt cells.
Discussion Pulmonary manifestations of distomatosis are frequent during the
invasive phase. Their immunoallergic origin can be questioned and emphasis
should be placed on lesions secondary to aberrant parasite migrations.