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Sarah E. Rowan, Marilyn E. Levi, Jean M

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Presentation on theme: "Sarah E. Rowan, Marilyn E. Levi, Jean M"— Presentation transcript:

1 The Variable Presentations and Broadening Geographic Distribution of Hepatic Fascioliasis 
Sarah E. Rowan, Marilyn E. Levi, Jean M. Youngwerth, Brian Brauer, Gregory T. Everson, Steven C. Johnson  Clinical Gastroenterology and Hepatology  Volume 10, Issue 6, Pages (June 2012) DOI: /j.cgh Copyright © 2012 AGA Institute Terms and Conditions

2 Figure 1 Contrast-enhanced computed tomography images of the liver show a giant mixed-density subcapsular hematoma (white arrows) that measured 18 cm anteroposterior × 5.5 cm wide. Several low-density channels are shown tracking through the liver and communicating with the subcapsular hematoma (black arrows). A central hematoma was also noted near the confluence of the hepatic veins (A, thin arrow). Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2012 AGA Institute Terms and Conditions

3 Figure 2 Abdominal magnetic resonance imaging scan reveals large heterogeneous subcapsular fluid collection (white arrows) in T1 and T2 images, with T2 and T1 bright subcapsular tracts extending into hepatic parenchyma (A, black arrow). Nonenhancing parenchymal nodules (B, black arrow) are also present. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2012 AGA Institute Terms and Conditions

4 Figure 3 Contrast-enhanced computed tomography image shows area of multiple rounded hypodensities located centrally in the liver (arrow). Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2012 AGA Institute Terms and Conditions

5 Figure 4 Cholangiogram image shows a distal filling defect (arrows).
Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2012 AGA Institute Terms and Conditions

6 Figure 5 Endoscopic image shows the parasite (arrow) as it is removed from the bile duct. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2012 AGA Institute Terms and Conditions

7 Figure 6 F hepatica specimen retrieved from common bile duct.
Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2012 AGA Institute Terms and Conditions


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