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. 2017 Nov 11;3(1):23-25.
doi: 10.1016/j.vgie.2017.09.004. eCollection 2018 Jan.

EUS imaging of dead Ascaris

Affiliations

EUS imaging of dead Ascaris

Malay Sharma et al. VideoGIE. .
No abstract available

Keywords: CBD, common bile duct.

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Figures

Figure 1
Figure 1
Linear EUS view from the stomach showing dilated CBD with rounded hyperechoic structure without acoustic shadowing in the lower CBD. CBD, common bile duct.
Figure 2
Figure 2
Linear EUS view showing rounded hyperechoic structure in dilated common bile duct. CBD, common bile duct.
Figure 3
Figure 3
Linear EUS view from duodenal bulb with color Doppler image showing hyperechoic avascular structure with a central anechoic area inside the common bile duct. CBD, common bile duct.
Figure 4
Figure 4
Dual-color Doppler image showing avascular hyperechoic structure with vascular portal vein. CBD, common bile duct.
Figure 5
Figure 5
Zoom image showing dead Ascaris attached to the wall of the CBD from 1 discrete attachment point, whereas the remaining structure was noted to move with the pulsatile flow of biliary secretions. CBD, common bile duct.
Figure 6
Figure 6
The central part of the hyperechoic structure was anechoic. CBD, common bile duct.
Figure 7
Figure 7
After biliary sphincterotomy and multiple balloon sweeps on ERCP, yellow fragments were removed, suggestive of recently fragmented Ascaris.
Figure 8
Figure 8
US view of the abdomen showing CBD with stent inside. CBD, common bile duct.

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