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Nacarelli et al., 2019)

27 Fecal concentration-sedimentation using the formalin-ether technique is the most reliable method of identifying eggs in stool.27, 29 Eggs may also be identified in cytologic preparations of bile.28, 30 Eggs or adults may be seen in liver biopsy specimens, but they are inconsistently identified.1, 27, 28, 30 Histopathologic changes seen in the liver are characterized by dilation of larger intrahepatic bile ducts associated with papillary projections and marked periductal and portal fibrosis