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Imaging characteristics of Fasciola gigantica, a report of 29 cases
Imaging characteristics of Fasciola gigantica, a report of 29 cases
- Source :
- Radiology of Infectious Diseases, Vol 5, Iss 3, Pp 123-130 (2018)
- Publication Year :
- 2018
- Publisher :
- Medknow, 2018.
-
Abstract
- Objective: To analyze imaging findings of Fasciola (F.) gigantica infection on computed tomography (CT), magnetic resonance imaging (MRI), and ultrasonography (US). Method: Twenty-nine patients with F. gigantica were admitted to the Affiliated Hospital of Dali University (n = 18) and Dali Prefecture People's Hospital (n = 11) from November 2011 to April 2012. All patients were examined by routine CT scan and US, and 24 of them were detected by MRI and MR cholangiopancreatography (MRCP). Serologic methods using enzyme-linked immunosorbent assay (ELISA) in 27 patients, stool examination in all patients, and hepatic tissue biopsy in 3 patients were performed. CT and US as follow-up examination was carried out in most patients for 3 years. Results: Multiple and scattered hypodense lesions in liver were seen in all patients on CT. Four types of hepatic lesions were observed on MRI as follows: tunnel-like lesions, abscesses, enhancement lesions, and iso- or slightly hypointense areas on T1-weighted images or T2-weighted images. These hepatic lesions were hypoechoic on US. Pathological images showed coagulation necrosis of liver lesions. Multiple calcifications were disclosed in 19 patients at follow-up. Conclusion: The imaging findings of CT, MRI, and US are helpful for the diagnosis of acute and chronic stages of Fasciola gigantica in liver. Keywords: Fasciola gigantica, Magnetic resonance imaging, Computed tomography, Ultrasonography
- Subjects :
- medicine.medical_specialty
Fasciola
biology
medicine.diagnostic_test
business.industry
Fasciola gigantica
030231 tropical medicine
Magnetic resonance imaging
biology.organism_classification
lcsh:Infectious and parasitic diseases
030218 nuclear medicine & medical imaging
Serology
Mr cholangiopancreatography
03 medical and health sciences
0302 clinical medicine
Coagulative necrosis
Biopsy
medicine
lcsh:RC109-216
Radiology
business
Pathological
Subjects
Details
- ISSN :
- 23526211
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- Radiology of Infectious Diseases
- Accession number :
- edsair.doi.dedup.....ff2a3c297431334a9db89bdf49655232
- Full Text :
- https://doi.org/10.1016/j.jrid.2018.07.001