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Biliary fascioliasis: Sonographic appearance patterns

Purpose. To describe the sonographic findings of biliary fascioliasis. Method. The study included 27 patients with fascioliasis and abdominal sonographic findings in biliary system. All diagnoses were confirmed via serologic enzyme‐linked immunosorbent assay, and 5 patients underwent cholecystectomy...

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Published in:Journal of clinical ultrasound 2009-01, Vol.37 (1), p.26-30
Main Authors: Yesildag, Ahmet, Yıldız, Harun, Demirci, Mustafa, Gören, İbrahim, İşler, Mehmet
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container_title Journal of clinical ultrasound
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creator Yesildag, Ahmet
Yıldız, Harun
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description Purpose. To describe the sonographic findings of biliary fascioliasis. Method. The study included 27 patients with fascioliasis and abdominal sonographic findings in biliary system. All diagnoses were confirmed via serologic enzyme‐linked immunosorbent assay, and 5 patients underwent cholecystectomy. Sonographic findings in the biliary system were defined as primary and secondary. Results. Primary findings included spontaneously moving echogenic structures, linear echoes, curvilinear echoes, oval‐shaped echogenic structure, matted echogenic particle, echogenic particle adherent to the gallbladder wall, motionless freely floating round echogenic foci, and leaf‐like echogenic structures. Secondary findings were dilatation or wall thickening of the biliary system. In the liver, multiple confluent subcapsular nodules were also noted on sonography and CT in 14 of 27 patients. Conclusion. Sonography can detect biliary system lesions in fascioliasis and can aid diagnosis of the disease. However, the radiologist should be familiar with the different sonographic appearances of biliary fascioliasis. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2009
doi_str_mv 10.1002/jcu.20513
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To describe the sonographic findings of biliary fascioliasis. Method. The study included 27 patients with fascioliasis and abdominal sonographic findings in biliary system. All diagnoses were confirmed via serologic enzyme‐linked immunosorbent assay, and 5 patients underwent cholecystectomy. Sonographic findings in the biliary system were defined as primary and secondary. Results. Primary findings included spontaneously moving echogenic structures, linear echoes, curvilinear echoes, oval‐shaped echogenic structure, matted echogenic particle, echogenic particle adherent to the gallbladder wall, motionless freely floating round echogenic foci, and leaf‐like echogenic structures. Secondary findings were dilatation or wall thickening of the biliary system. In the liver, multiple confluent subcapsular nodules were also noted on sonography and CT in 14 of 27 patients. Conclusion. Sonography can detect biliary system lesions in fascioliasis and can aid diagnosis of the disease. However, the radiologist should be familiar with the different sonographic appearances of biliary fascioliasis. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2009</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.20513</identifier><identifier>PMID: 18642366</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Animals ; bile ducts ; Bile Ducts - diagnostic imaging ; fasciola hepatica ; fascioliasis ; Fascioliasis - diagnostic imaging ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; sonography ; Ultrasonography</subject><ispartof>Journal of clinical ultrasound, 2009-01, Vol.37 (1), p.26-30</ispartof><rights>Copyright © 2008 Wiley Periodicals, Inc.</rights><rights>(c) 2008 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5243-8458661bb992d9d6db606128bbc617a51a5738be3a3e19f022453c98dfdeecf53</citedby><cites>FETCH-LOGICAL-c5243-8458661bb992d9d6db606128bbc617a51a5738be3a3e19f022453c98dfdeecf53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18642366$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yesildag, Ahmet</creatorcontrib><creatorcontrib>Yıldız, Harun</creatorcontrib><creatorcontrib>Demirci, Mustafa</creatorcontrib><creatorcontrib>Gören, İbrahim</creatorcontrib><creatorcontrib>İşler, Mehmet</creatorcontrib><title>Biliary fascioliasis: Sonographic appearance patterns</title><title>Journal of clinical ultrasound</title><addtitle>J. Clin. Ultrasound</addtitle><description>Purpose. To describe the sonographic findings of biliary fascioliasis. Method. The study included 27 patients with fascioliasis and abdominal sonographic findings in biliary system. All diagnoses were confirmed via serologic enzyme‐linked immunosorbent assay, and 5 patients underwent cholecystectomy. Sonographic findings in the biliary system were defined as primary and secondary. Results. Primary findings included spontaneously moving echogenic structures, linear echoes, curvilinear echoes, oval‐shaped echogenic structure, matted echogenic particle, echogenic particle adherent to the gallbladder wall, motionless freely floating round echogenic foci, and leaf‐like echogenic structures. Secondary findings were dilatation or wall thickening of the biliary system. In the liver, multiple confluent subcapsular nodules were also noted on sonography and CT in 14 of 27 patients. Conclusion. Sonography can detect biliary system lesions in fascioliasis and can aid diagnosis of the disease. However, the radiologist should be familiar with the different sonographic appearances of biliary fascioliasis. © 2008 Wiley Periodicals, Inc. 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subjects Adult
Aged
Animals
bile ducts
Bile Ducts - diagnostic imaging
fasciola hepatica
fascioliasis
Fascioliasis - diagnostic imaging
Female
Humans
Male
Middle Aged
Retrospective Studies
sonography
Ultrasonography
title Biliary fascioliasis: Sonographic appearance patterns
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