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Sonographic Findings of Hepatobiliary Fascioliasis Accompanied by Extrahepatic Expansion and Ectopic Lesions     
Yazarlar
Memik Teke
Dicle Üniversitesi, Türkiye
Hakan Önder
Sağlık Bilimleri Üniversitesi, Türkiye
Prof. Dr. Muttalip ÇİÇEK Prof. Dr. Muttalip ÇİÇEK
Dicle Üniversitesi, Türkiye
Cihad Hamidi
Dicle Üniversitesi, Türkiye
Cemil Göya
Dicle Üniversitesi, Türkiye
Mehmet Guli Çetinçakmak
Salih Hattapoğlu
Dicle Üniversitesi, Türkiye
Burak Veli Ülger
Dicle Üniversitesi, Türkiye
Özet
Objectives - The aim of the study was to describe the sonographic findings of hepatobiliary fascioliasis with extrahepatic expansion and ectopic lesions. Methods - The study included 45 patients with fascioliasis. All diagnoses were confirmed via serologic enzyme-linked immunosorbent assays. Sonographic findings in the hepatobiliary system, extrahepatic expansion, and ectopic lesions were defined. Results - The most common hepatic lesions were subcapsular localized, small, confluent, multiple hypoechoic nodules with poorly defined borders. We also detected ectopic lesion in 5 patients (11.1%) and live parasites in the gallbladder and bile duct in 11 (24.4%). Conclusions - The large spectrum of entities in the differential diagnosis of hepatobiliary fascioliasis may lead to misdiagnosis and incorrect treatment. However, the diagnosis can be made when the characteristic sonographic features are seen, such as heterogeneity of the liver with multiple poorly defined hypoechoic-isoechoic lesions and multiple echogenic nonshadowing particles in the gallbladder or common bile ducts. Nonetheless, the differential diagnosis of fascioliasis versus other hepatic lesions may still be difficult. In these situations, pathologic confirmation should be performed to exclude the possibility of malignancy.
Anahtar Kelimeler
Ectopic lesion | Extrahepatic expansion | Fasciola hepatica | Gastrointestinal ultrasound | Sonography
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Journal of Ultrasound in Medicine
Dergi ISSN 0278-4297
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 12-2014
Cilt No 33
Sayı 12
Sayfalar 2105 / 2111
Doi Numarası 10.7863/ultra.33.12.2105
Makale Linki http://doi.wiley.com/10.7863/ultra.33.12.2105