Radiological Imaging Features of Fasciola hepatica Infection A Pictorial Review

dc.contributor.authorDusak, Abdurrahim
dc.contributor.authorOnur, Mehmet R.
dc.contributor.authorCicek, Mutalip
dc.contributor.authorFirat, Ugur
dc.contributor.authorRen, Tianbo
dc.contributor.authorDogra, Vikram S.
dc.date.accessioned2024-04-24T17:24:14Z
dc.date.available2024-04-24T17:24:14Z
dc.date.issued2012
dc.departmentDicle Üniversitesien_US
dc.description.abstractFascioliasis refers to a zoonosis caused by Fasciola hepatica, a trematode infecting herbivores, but also occurs in humans who ingest the metacercaria found in fresh water plants. Infection in humans is common in developing countries and is also not uncommon in Europe. Diagnosis of this infection is difficult, as the history and symptoms are nonspecific and stool analysis for eggs is negative until the disease is in an advanced state by when the parasite has reached the biliary system. The clinical course consists of two phases; first a hepatic parenchymal phase in which immature larvae invade the liver parenchyma, followed by a ductal phase characterized by the excretion of larvae into the bile ducts. Parenchymal Phase: Ultrasonography (US) findings are nonspecific in this early phase. Computerized tomography (CT) may demonstrate subcapsular low attenuation regions in the liver. Magnetic Resonance imaging (MRI) can also be utilized to establish liver parenchymal involvement, and is better than CT in characterizing hemorrhagic lesions, as well as identifying more lesions relative to CT. Ductal Phase: US examination is most useful at this stage, with its ability to demonstrate the live movement of the worms within the dilated ducts. A CT demonstrates dilated central biliary ducts with periportal tracking, whereas, mild ductal dilatation is poorly appreciated under MRI. Therefore, familiarity with the multimodality imaging features of fascioliasis, in combination with an available confirmatory enzyme-linked immunoassay, would be most helpful for early diagnosis.en_US
dc.identifier.doi10.4103/2156-7514.92372
dc.identifier.issn2156-7514
dc.identifier.issn2156-5597
dc.identifier.pmid22347685
dc.identifier.urihttps://doi.org/10.4103/2156-7514.92372
dc.identifier.urihttps://hdl.handle.net/11468/19548
dc.identifier.volume2en_US
dc.identifier.wosWOS:000219166500002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherMedknow Publications & Media Pvt Ltden_US
dc.relation.ispartofJournal of Clinical Imaging Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFascioliasisen_US
dc.subjectFasciola Hepaticaen_US
dc.subjectRadiological Imaging Featuresen_US
dc.subjectAmoebic Abscessen_US
dc.subjectHydatid Diseaseen_US
dc.subjectPyogenic Abscessen_US
dc.titleRadiological Imaging Features of Fasciola hepatica Infection A Pictorial Reviewen_US
dc.titleRadiological Imaging Features of Fasciola hepatica Infection A Pictorial Review
dc.typeReview Articleen_US

Dosyalar