Case 30: Eosinophilic Cholangitis
70 year old Ethiopian woman presents with abdominal pain.
CT: Eosinophilic, presumably from liver fluke
Multiphase CT reveals multifocal ill defined hypovascular lesions, spreading along the portal tracts, with surrounding THAD due to reactive hyperemia from occlusion of the distal left portal vein. Biopsy was consistent with eosinophilic cholangitis, presumably due to liver fluke (fasciola hepatica).