Intrahepatic ascaris worms

Case contributed by Dr Hidayatullah Hamidi

Presentation

Abdominal pain, jaundice and ill-looking patient.

Patient Data

Age: 2 year
Gender: Male
Ultrasound

Scan of the liver with high frequency linear probe shows multiple linear echogenic structures within dilated intrahepatic ducts. 

some small focal cystic lesions with internal fluid-debris level are also seen.

CT

CT images show dilatation of intrahepatic ducts with multiple small hypo-attenuating lesions in hepatic parenchyma.

Prominent common bile duct and marked dilatation of pancreatic duct was also noted, which can also give the possibility of ascaris worms in these ducts.
Mild ascites was present.

Case Discussion

Combination of the ultrasonographic and CT findings are more likely of biliary ascariasis complicated to abscess formation. 

 

The patient was lost to further follow up.

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Case information

rID: 70460
Published: 11th Feb 2020
Last edited: 12th Feb 2020
Inclusion in quiz mode: Included

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