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[Fascioliasis hepatis--computed tomographic aspect].

N Goebel, K Markwalder, W Siegenthaler

    Digitale Bilddiagnostik
    |December 1, 1984
    PubMed
    Summary

    Liver fascioliasis, a parasitic infection, presents characteristic CT scan findings. Imaging revealed multiple hypodense liver lesions that significantly decreased over nine months.

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    Area of Science:

    • Medical Imaging
    • Parasitology
    • Hepatology

    Background:

    • Liver fascioliasis is a parasitic disease caused by liver flukes.
    • Diagnosis often relies on eggs in stool and imaging.
    • Characteristic imaging findings aid in diagnosis and monitoring.

    Observation:

    • A patient with confirmed liver fascioliasis (Fasciola hepatica) excreted eggs in feces.
    • A computed tomography (CT) scan of the liver was performed post-intravenous contrast injection.
    • The scan revealed multiple small, hypodense lesions within the liver parenchyma.

    Findings:

    • The hypodense lesions exhibited a distinct pattern, appearing in grape-like clusters and in a linear, 'street-like' arrangement.
    • These lesions were noted in proximity to the portal vein, bile duct areas.
    • Follow-up imaging nine months later showed a marked decrease in the size and prominence of these hypodense lesions.

    Implications:

    • CT imaging can reveal characteristic patterns of liver fascioliasis.
    • The observed lesion resolution suggests a potential for spontaneous or treatment-induced healing.
    • These findings contribute to understanding the radiological progression of hepatic fascioliasis.

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