Sarah E. Rowan, Marilyn E. Levi, Jean M

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Presentation transcript:

The Variable Presentations and Broadening Geographic Distribution of Hepatic Fascioliasis Sarah E. Rowan, Marilyn E. Levi, Jean M. Youngwerth, Brian Brauer, Gregory T. Everson, Steven C. Johnson Clinical Gastroenterology and Hepatology Volume 10, Issue 6, Pages 598-602 (June 2012) DOI: 10.1016/j.cgh.2012.02.013 Copyright © 2012 AGA Institute Terms and Conditions

Figure 1 Contrast-enhanced computed tomography images of the liver show a giant mixed-density subcapsular hematoma (white arrows) that measured 18 cm anteroposterior × 5.5 cm wide. Several low-density channels are shown tracking through the liver and communicating with the subcapsular hematoma (black arrows). A central hematoma was also noted near the confluence of the hepatic veins (A, thin arrow). Clinical Gastroenterology and Hepatology 2012 10, 598-602DOI: (10.1016/j.cgh.2012.02.013) Copyright © 2012 AGA Institute Terms and Conditions

Figure 2 Abdominal magnetic resonance imaging scan reveals large heterogeneous subcapsular fluid collection (white arrows) in T1 and T2 images, with T2 and T1 bright subcapsular tracts extending into hepatic parenchyma (A, black arrow). Nonenhancing parenchymal nodules (B, black arrow) are also present. Clinical Gastroenterology and Hepatology 2012 10, 598-602DOI: (10.1016/j.cgh.2012.02.013) Copyright © 2012 AGA Institute Terms and Conditions

Figure 3 Contrast-enhanced computed tomography image shows area of multiple rounded hypodensities located centrally in the liver (arrow). Clinical Gastroenterology and Hepatology 2012 10, 598-602DOI: (10.1016/j.cgh.2012.02.013) Copyright © 2012 AGA Institute Terms and Conditions

Figure 4 Cholangiogram image shows a distal filling defect (arrows). Clinical Gastroenterology and Hepatology 2012 10, 598-602DOI: (10.1016/j.cgh.2012.02.013) Copyright © 2012 AGA Institute Terms and Conditions

Figure 5 Endoscopic image shows the parasite (arrow) as it is removed from the bile duct. Clinical Gastroenterology and Hepatology 2012 10, 598-602DOI: (10.1016/j.cgh.2012.02.013) Copyright © 2012 AGA Institute Terms and Conditions

Figure 6 F hepatica specimen retrieved from common bile duct. Clinical Gastroenterology and Hepatology 2012 10, 598-602DOI: (10.1016/j.cgh.2012.02.013) Copyright © 2012 AGA Institute Terms and Conditions