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KMID : 0359019930130010121
Korean Journal of Gastrointestinal Endoscopy
1993 Volume.13 No. 1 p.121 ~ p.126
ERCP Findings in Hepatic Clonorchiasis
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Abstract
An endoscopic retrograde cholangiographic study of 25 consecutive cases of hepatic clonorchiasis was performed during the period from Aug 1986 to Sep. 1991
Hepatic clonorchiasis was confirmed bv stool of examination for Clonorchis sinensis.
The findings consist of characteristic filling defects and changes in the intrahepatic and extrahepatic bile ducts. The filling defects due to adult worms are significant diagnostic criteria of clonorchiasis. Its appearance is ellipatical and/or
round.
The change in the intrahepatic bile ducts consisits of dilatation, irregularity(tortousity and elongation) and blunting of terminal branches of bile tree, irregular stenosis, fuzziness and raggedness.
The characteristic changes in the extrahepatic bile ducts in clonorchiasis with clonorchiasis because it reveals not only its characteristic findings of clonorchiasis but also its severity and associated lesions.
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