title: Peritoneal manifestations of fascioliasis on CT images: a new observation.
abstract: OBJECTIVE
  To describe peritoneal manifestations of fascioliasis on CT.
  
  
  METHODS
  We reviewed CT images in 31 patients with fascioliasis confirmed by enzyme-linked immunosorbent assay (ELISA) (n = 24) or surgery (n = 7). Image analyses were performed to identify hepatic, biliary, and peritoneal abnormalities.
  
  
  RESULTS
  Hepatic abnormalities were seen in 28 (90.3 %) of the 31 patients. The most common finding was caves sign, which was present in 25 (80.1 %) patients. Three patients (9.7 %) presented with biliary abnormalities exhibiting dilatation and enhancing wall thickening of the bile duct, wall thickening of the gallbladder, and elongated structures in the bile duct or gallbladder. Peritoneal abnormalities were seen in 14 (45.2 %) of the 31 patients. The most common peritoneal abnormality was mesenteric or omental infiltration, which was seen in 9 (29.0 %) patients. Other peritoneal findings included lymph node enlargement (n = 7), ascites (n = 7), thickening of ligamentum teres (n = 2), and peritoneal mass (n = 2).
  
  
  CONCLUSIONS
  Peritoneal manifestations of fascioliasis are relatively common, and CT findings include mesenteric or omental infiltration, lymph node enlargement, ascites, thickening of the ligamentum teres, and peritoneal masses.
authors: Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-Dong, Kangnam-Ku, Seoul, 135-710, Republic of Korea.
authors: Kyoung Doo
authors: KD
authors: Song
authors: Jae Hoon
authors: JH
authors: Lim
authors: Mi Jeong
authors: MJ
authors: Kim
authors: Yun Jin
authors: YJ
authors: Jang
authors: Jae Woon
authors: JW
authors: Kim
authors: Seung Hyun
authors: SH
authors: Cho
authors: Jung Hyeok
authors: JH
authors: Kwon
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001659:Biliary Tract / Q000000981:diagnostic imaging / Q000469:parasitology; D002765:Cholecystography; D005211:Fascioliasis / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D005704:Gallbladder / Q000469:parasitology; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000469:parasitology; D008297:Male; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000469:parasitology; D010537:Peritoneum / Q000000981:diagnostic imaging* / Q000469:parasitology*; D014057:Tomography, X-Ray Computed / Q000379:methods