2009
DOI: 10.4103/0974-777x.56248
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Biliary ascariasis on magnetic resonance cholangiopancreatography

Abstract: A 17-year-old girl presented with features of biliary obstruction. Magnetic resonance cholangi-pancreatography revealed typical linear signals in common bile duct, which appears like Ascaris lumbricoides. The diagnosis was confirmed by endoscopic removal of the worm.

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Cited by 13 publications
(6 citation statements)
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“…Multiple Ascaris Lumbricoides round worms can result in intestinal obstruction, or even cause volvulus with consequent necrosis of the involved bowel segment [ 8 ]. Magnetic resonance cholangio-pancreatography (MRCP) also has a role in the diagnosis of hepatobiliary ascariasis [ 9 ], and though other parasites can be involved in the biliary system [ 10 ], ultrasound with all its typical imaging features has a definite role in the diagnosis of hepato-pancreatico-biliary and intestinal ascariasis.…”
Section: Discussionmentioning
confidence: 99%
“…Multiple Ascaris Lumbricoides round worms can result in intestinal obstruction, or even cause volvulus with consequent necrosis of the involved bowel segment [ 8 ]. Magnetic resonance cholangio-pancreatography (MRCP) also has a role in the diagnosis of hepatobiliary ascariasis [ 9 ], and though other parasites can be involved in the biliary system [ 10 ], ultrasound with all its typical imaging features has a definite role in the diagnosis of hepato-pancreatico-biliary and intestinal ascariasis.…”
Section: Discussionmentioning
confidence: 99%
“…Sometimes the USS is inconclusive, such as in this case, therefore MRCP is a useful additional imaging modality. It shows intraductal worms as linear hypo intense filling defects [ 4 , 9 ], which was seen on this patient’s scan.…”
Section: Discussionmentioning
confidence: 88%
“…This can result in complications such as biliary colic and acute cholecystitis; seen in our patient. It can also cause other problems such as pyogenic cholangitis, liver abscesses and pancreatitis [ 4 ].…”
Section: Discussionmentioning
confidence: 99%
“…Magnetic resonance cholangiopancreatography (MRCP) also has a role in the diagnosis of hepatobiliary ascariasis. MRCP may detect adult worms in bile or pancreatic ducts, yet it is costly, time consuming, and not easily available [99]. On MRCP imaging, Ascaris worms demonstrate a characteristic 3-parallel-lines appearance.…”
Section: Computed Tomographymentioning
confidence: 99%