Sonographic diagnosis of biliary ascariasis

Date
1982
Authors
Schulman, A.
Loxton, A. J.
Heydenrych, J. J.
Abdurahman, K. E.
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
In a prospective 6 month study, sonographic diagnosis of biliary ascariasis was made in 12 patients: In five, the diagnosis was confirmed by other means, mainly intravenous cholangiography. In three, such confirmation was not sought, but all had proven intestinal infestation. One possible and three definite false-positive diagnoses were made. There were no established false-negative diagnoses. The echogenic, nonshadowing images of the worms were seen in the main bile duct and/or gallbladder as single strips (on one occasion with its digestive tract seen as an anechoic 'inner tube'), as multiple strips giving a spaghettilike appearance, as coils, or as more amorphous fragments. Follow-up sonograms were obtained in six patients and showed expulsion of the worms by medical treatment.
Description
Keywords
ascariasis, bile duct, bile tract infection, diagnosis, echography, gallbladder, major clinical study, parasite identification, preschool child, school child, Adolescent, Ascariasis, Biliary Tract Diseases, Case Report, Child, Child, Preschool, False Positive Reactions, Human, Male, Prospective Studies, Ultrasonography
Citation
American Journal of Roentgenology
139
3