EURORAD ESR

Case 13915

Biliary ascariasis causing cholelithiasis in a child

Author(s)
Joanna Marie D. Choa, MD; Ma. Agatha C. Garcia, MD; Rebecca Abiog-Castro, MD; Mario T. Milo, MD

University of Santo Tomas Hospital,
Radiological Sciences;
España Boulevard 1015 Manila;
Email:choa.jmd@gmail.com
 
Patient
male, 4 year(s)
 
 
  • Figure 1
    Abdominal radiograph

    Scout film of the abdomen shows a radiopaque density at the right T11-T12 paravertebral area.

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Paediatric; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 2
    Abdominal (gallbladder) ultrasound
     

    A non-mobile, echogenic focus without posterior acoustic shadowing is seen within the gallbladder with associated thickening of the gallbladder wall. No evidence of a calcified stone within the gallbladder or the...

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Paediatric; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion; Parasites;

    Dilated common bile duct measuring 0.79 cm. No echogenic or shadowing focus identified. The other parts of the biliary tree were not fully visualized due to overlying intestinal gas.

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Paediatric; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Infection; Parasites;
     
     
Scout film of the abdomen shows a radiopaque density at the right T11-T12 paravertebral area.
 
A non-mobile, echogenic focus without posterior acoustic shadowing is seen within the gallbladder with associated thickening of the gallbladder wall. No evidence of a calcified stone within the gallbladder or the visualized biliary tree.
 
Dilated common bile duct measuring 0.79 cm. No echogenic or shadowing focus identified. The other parts of the biliary tree were not fully visualized due to overlying intestinal gas.
 
 
 
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