Fasciola hepatica infection in a 65-year-old woman

Authors

  • Bernard Pilet
  • Filip Deckers
  • Marc Pouillon
  • Paul M. Parizel

DOI:

https://doi.org/10.3941/jrcr.v4i4.384

Keywords:

Fascioliasis, fasciola hepatica, liver, liver fluke, parasitic disease, iron oxide, ferucarbotran, MR imaging

Abstract

Fascioliasis is an infectious disease caused by fasciola or liver fluke. Humans are accidental hosts to these flatworms. The World Health Organisation considers fascioliasis an important human parasitic disease. In Europe, Australia and Northern America, the disease is rare, but should have a high index of suspicion in patients who have lived in or travelled to endemic areas. Although it can be self-limiting, fascioliasis is associated with an increased risk of bile duct cancer. Before a clear-cut diagnosis is made using ELISA-based arrays, radiologic studies can provide the clinician with a number of suggestive features, thereby avoiding the need for liver biopsy or even surgery, which have nowadays become obsolete for the diagnosis of fascioliasis. We provide an overview of the major radiologic hallmarks and we demonstrate the role of iron-oxide enhanced MRI.

Author Biographies

Bernard Pilet

AZ Turnhout

Radiology Department

Staff member

Filip Deckers

GZA Sint-Augustinus

Radiology Department

Staff member

Marc Pouillon

GZA Sint-Augustinus

Radiology Department

Head of Department

Paul M. Parizel

Antwerp University Hospital

Radiology Department

Professor, Head of Department

Published

2010-03-28

Issue

Section

Gastrointestinal Radiology