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Biliary ascariasis in children.

B J Cremin, R M Fisher

    AJR. American Journal of Roentgenology
    |February 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Ascariasis, a common parasitic infection, frequently causes biliary complications, especially in children. Cholangiography reveals characteristic worm-like defects in the bile duct, aiding diagnosis.

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    Area of Science:

    • Medical Parasitology
    • Gastroenterology
    • Radiology

    Background:

    • Ascariasis is a globally prevalent human parasitic infection.
    • Biliary complications are frequent in endemic areas, often affecting children.
    • Clinical presentation typically involves abdominal pain without jaundice.

    Purpose of the Study:

    • To analyze roentgenological findings in ascariasis-induced biliary complications.
    • To highlight the diagnostic utility of cholangiography for biliary ascariasis.
    • To inform radiologists about the characteristic imaging appearances.

    Main Methods:

    • Retrospective analysis of 67 cases with positive roentgenological findings over one year.
    • Detailed examination of cholangiographic images.

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  • Correlation of imaging findings with clinical presentation.

    • Main Results:

    • Cholangiography is diagnostic for biliary ascariasis.
    • The worm appears as a linear, translucent filling defect in a dilated common bile duct.
    • Imaging may show faint outlines or non-excretion of contrast material.

    Conclusions:

    • Cholangiography is a definitive diagnostic tool for biliary ascariasis.
    • Radiologists should be aware of these specific imaging findings.
    • Intestinal ascariasis also presents with distinct radiological features.