An incidental case of biliary fascioliasis with subtle clinical findings: US and MRCP findings

Abstract

We present unique US  and MRCP findings of a biliary fasciolosis case which doesn't have  biliary obstruction or cholestasis. Radiologically, curvilinear parasites compatible with  juvenile and mature fasciola hepatica have shown within the gallbladder and common bile duct. The parasites appear  in a form of bright echogenic structures with no acoustic shadow on US and hypo intense curvilinear lesions on T2 weighted MRCP images. Imaging studies may significantly contribute to the diagnosis of patients with subtle clinical and laboratory findings, particularly in endemic regions