EURORAD ESR

Case 474

Biliary ascariasis

Author(s)
F. Jelavic-Kojic , G. Simac-Kubat , Z. Sucic , *B. Bakula , *T. Anic
 
Patient
female, 71 year(s)
 
 
  • Figure 1
    Secondary cholangiogram
     

    A tubular contrast defect filling is noted unexpectedly without sure signs for CBD residual calculi. Unsharp margins of the duct indicate long standing cholangitis. Negative contrast defect in the right hepatic duct...

     
    Area of Interest: unknown; Imaging Technique: Secondary cholangiogram;

    Better visualisation of 2 filling defects, long tubular structures, Helminths: one may be traced into the left hepatic duct partially, and the other is impacted into, and partially moving through the papilla. The...

     
    Area of Interest: unknown; Imaging Technique: Secondary cholangiogram;
     
     
A tubular contrast defect filling is noted unexpectedly without sure signs for CBD residual calculi. Unsharp margins of the duct indicate long standing cholangitis. Negative contrast defect in the right hepatic duct is air (no earliear US verification of calculus)
 
Better visualisation of 2 filling defects, long tubular structures, Helminths: one may be traced into the left hepatic duct partially, and the other is impacted into, and partially moving through the papilla. The second filling defect is noted as tubular in the RHD.The size of Ascaris may be from 15-35cm.
 
 
 
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