Hepatobiliary fascioliasis: a case with unusual radiological features

• DOI: 10.4261/1305-3825.dir.2350-08.1
• Publication Date: 2009-08-21T14:33:18Z
• Authors: Ahmet Yesildag; Altug Senol; Mert Koroglu; Cem Kockar; Orhan Oyar; Mehmet Isler
• Keywords: Adult; Anthelmintics; Fascioliasis; Cysts; Cholangitis, Sclerosing; Contrast Media; Bile Duct Diseases; 3. Good health; Diagnosis, Differential; Radiographic Image Enhancement; 03 medical and health sciences; Bile Ducts, Intrahepatic; 0302 clinical medicine; Liver; Choledochostomy; Humans; Benzimidazoles; Female; Tomography, X-Ray Computed; Triclabendazole; Follow-Up Studies; Ultrasonography

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.