J Korean Radiol Soc.
1988 Oct;24(5):878-882. 10.3348/jkrs.1988.24.5.878.
Radiologic imaging of bile duct changes by clonorchiasis
- KMID: 2359224
- DOI: http://doi.org/10.3348/jkrs.1988.24.5.878
Abstract
- The changes of the bile ducts were reviewed retrospectively in 38 patients of clonorchiasis by ultrasonography and/or CT. Diagnosis was made in 13 patients by cholecystectomy and exploration of the common bile duct, another 2 patients by segmentectomy and wedge resection of the liver, and 23 patients by stool examination. 14 of 36 casesdone ultrasonography showed the parallel channel sign, and small nodular echoes around the dilated bile ducts. And3 cases showed the echoes of worm of clonorchis sinensis in the common bile duct. 22 of 36 cases showed the parallel channel signs only. All cases (11) done CT showed diffuse dilatation of the peripheral bile ducts. 5 of11 cases showed ring or tubular contrast enhancement around the dilated bile ducts. In 2 cases of liver resection, the bile ducts showed adenomatous hyperplasia and severe periductal fibrosis. Proliferation of blood vessels and infiltration of inflammatory cells were also seen. So we consider that the increased echoes of the bile duct wall, small nodular echoes around the bile ducts were attributed to the bile duct dilatation, severe adenomatous hyperplasia and periductal fibrosis. The ring or tubular contrast enhancement of the dilated bile ducts seems tobe caused by the marked periductal inflammtion resulting in capillary pronliferation and the periductal fibrosis.
