EUS of bile-duct hydatid membrane

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Presentation transcript:

EUS of bile-duct hydatid membrane Malay Sharma, MD, DM, Piyush Somani, MD, DM, Vikas Sengar, MD, DM VideoGIE Volume 2, Issue 10, Pages 284-286 (October 2017) DOI: 10.1016/j.vgie.2017.07.006 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Linear EUS view from stomach showing curvilinear, leaflet-shaped echogenic structures within dilated common bile duct suggestive of hydatid membranes. IVC, inferior vena cava. VideoGIE 2017 2, 284-286DOI: (10.1016/j.vgie.2017.07.006) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Another linear EUS view from stomach showing curvilinear, leaflet-shaped echogenic structures within dilated common bile duct suggestive of hydatid membranes. VideoGIE 2017 2, 284-286DOI: (10.1016/j.vgie.2017.07.006) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 EUS view showing multiple, rounded, hyperechoic, irregular hydatid membranes visualized within common bile duct. VideoGIE 2017 2, 284-286DOI: (10.1016/j.vgie.2017.07.006) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Another EUS view showing multiple, rounded, hyperechoic, irregular hydatid membranes visualized within common bile duct. VideoGIE 2017 2, 284-286DOI: (10.1016/j.vgie.2017.07.006) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 EUS view showing hydatid membranes to be hyperechoic and multilayered, with intervening anechoic areas without acoustic shadowing. CBD, common bile duct. VideoGIE 2017 2, 284-286DOI: (10.1016/j.vgie.2017.07.006) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Floating hydatid membrane seen within common bile duct. VideoGIE 2017 2, 284-286DOI: (10.1016/j.vgie.2017.07.006) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 7 Cholangiographic view revealing a dilated common bile duct with multiple irregular filling defects formed by the hydatid membranes. VideoGIE 2017 2, 284-286DOI: (10.1016/j.vgie.2017.07.006) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 8 Endoscopic image showing bile-stained hydatid membranes being ballooned out. VideoGIE 2017 2, 284-286DOI: (10.1016/j.vgie.2017.07.006) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions