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Journal of Ultrasound in Medicine, Vol 12, Issue 10 573-576, Copyright © 1993 by American Institute of Ultrasound in Medicine


JOURNAL ARTICLE

Ultrasonographic diagnosis of hepatobiliary ascariasis

M. Aslam, S. P. Dore, J. J. Verbanck, C. J. De Soete and G. G. Ghillebert
Department of Ultrasound, St. Marthas Hospital, Bangalore, India.

Eight cases of hepatobiliary invasion of Ascaris lumbricoides into the hepatobiliary tract are presented. In the presence of nonspecific symptoms and biochemical test results, the diagnosis was made in seven patients by sonography. In the remaining patient, in whom the adult roundworm was not visible on sonography owing to the presence of aerobilia, the diagnosis was made at ERCP. Sonography revealed typical tubular, echogenic, filling defects along the long axis of a dilated common bile duct, sometimes exhibiting slow movements and containing a central sonolucent line. Repeated sonographic examinations accurately predicted treatment success.


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