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Schistosomiasis Japonicum

Tillman BGT - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Schistosomiasis Japonicum

History: A 51-year-old woman presents with chronic left flank and pelvic pain. Her past medical history is remarkable for a remote liver biopsy. She reports prior travel to several Asian countries. Surgical history is notable for a prior cesarean section.

Findings: Abdominal radiography showed subtle curvilinear densities overlying in the left lower quadrant and central within the pelvis. This was confirmed on intravenous contrast-enhanced abdominopelvic CT to be the caused by thin mucosal surface calcifications within the descending and sigmoid colons. Incidental note is made of thin right hepatic lobe capsule calcifications.

Ddx: • Schistosomiasis Japonicum • Tuberculosis (TB) • Alkaline encrustation cystitis • Primary amyloidosis • Radiation

Dxhow: Liver Biopsy

Exam: The physical examination shows a nondistended abdomen and nonspecific lower abdominal pain and was otherwise noncontributory. Abdominal radiography and CT of the abdomen and pelvis were obtained.

No MeSH data available.


Axial CT image of the liver and magnified image of the right hepatic lobe shows thin hepatic capsular calcifications (arrows).  Note also the prominence of the portal vein, the slightly shrunken overall appearance of the liver, and the mildly nodular hepatic surface, findings indicative of chronic liver disease.
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MPX1706_synpic30048: Axial CT image of the liver and magnified image of the right hepatic lobe shows thin hepatic capsular calcifications (arrows). Note also the prominence of the portal vein, the slightly shrunken overall appearance of the liver, and the mildly nodular hepatic surface, findings indicative of chronic liver disease.


Schistosomiasis Japonicum

Tillman BGT - MedPix (2006)

Axial CT image of the liver and magnified image of the right hepatic lobe shows thin hepatic capsular calcifications (arrows).  Note also the prominence of the portal vein, the slightly shrunken overall appearance of the liver, and the mildly nodular hepatic surface, findings indicative of chronic liver disease.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1706&req=5

MPX1706_synpic30048: Axial CT image of the liver and magnified image of the right hepatic lobe shows thin hepatic capsular calcifications (arrows). Note also the prominence of the portal vein, the slightly shrunken overall appearance of the liver, and the mildly nodular hepatic surface, findings indicative of chronic liver disease.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Schistosomiasis Japonicum

History: A 51-year-old woman presents with chronic left flank and pelvic pain. Her past medical history is remarkable for a remote liver biopsy. She reports prior travel to several Asian countries. Surgical history is notable for a prior cesarean section.

Findings: Abdominal radiography showed subtle curvilinear densities overlying in the left lower quadrant and central within the pelvis. This was confirmed on intravenous contrast-enhanced abdominopelvic CT to be the caused by thin mucosal surface calcifications within the descending and sigmoid colons. Incidental note is made of thin right hepatic lobe capsule calcifications.

Ddx: • Schistosomiasis Japonicum • Tuberculosis (TB) • Alkaline encrustation cystitis • Primary amyloidosis • Radiation

Dxhow: Liver Biopsy

Exam: The physical examination shows a nondistended abdomen and nonspecific lower abdominal pain and was otherwise noncontributory. Abdominal radiography and CT of the abdomen and pelvis were obtained.

No MeSH data available.