Immature eggs are discharged in the biliary ducts and in the stool. After development in water, each egg releases a miracidium which invades a suitable snail intermediate host. The cercariae are released from the snail and encyst as metacercariae on aquatic vegetation or other surfaces.
Mammals acquire the infection by eating vegetation containing metacercariae.
After ingestion, the metacercariae excyst in the duodenum and migrate through the intestinal wall, the peritoneal cavity and the liver parenchyma into the biliary ducts, where they develop into adults. Fasciola hepatica infect various animal species, mostly herbivores. Humans can become infected by ingesting metacercariae-containing freshwater plants, especially watercress. In humans, maturation from metacercariae into adult flukes takes approximately 3 to 4 months. Fascioliasis occurs worldwide.