Abstract
We report a case of hepatobiliary fascioliasis presenting with unusual radiological findings that have not been reported previously. Imaging studies revealed hepatic cystic pouches communicating with intrahepatic bile ducts. Snail-like, oval shaped and conglomerated echogenic particles with no acoustic shadowing, suggesting F. hepatica, were detected in these cystic pouches. In addition, secondary sclerosing cholangitis developed after fascioliasis.
MeSH terms
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Adult
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Anthelmintics / therapeutic use
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Benzimidazoles / therapeutic use
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Bile Duct Diseases / diagnostic imaging*
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Bile Duct Diseases / parasitology
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Bile Ducts, Intrahepatic / diagnostic imaging
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Bile Ducts, Intrahepatic / parasitology
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Cholangitis, Sclerosing / complications
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Cholangitis, Sclerosing / diagnostic imaging
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Cholangitis, Sclerosing / surgery
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Choledochostomy
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Contrast Media
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Cysts / complications
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Diagnosis, Differential
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Fascioliasis / complications
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Fascioliasis / diagnostic imaging*
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Fascioliasis / drug therapy
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Female
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Follow-Up Studies
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Humans
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Liver / diagnostic imaging
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Liver / parasitology
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Radiographic Image Enhancement
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Tomography, X-Ray Computed
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Triclabendazole
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Ultrasonography
Substances
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Anthelmintics
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Benzimidazoles
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Contrast Media
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Triclabendazole