Umbilical portogram in a case of Schistosomiasis japonicum.
The life cycle of shistosomes in their human host contributes to protean pathologic changes in many organs. One of these, pre-sinusoidal hepatic fibrosis in the case of S. Japonicum, was studied by an umbilical portogram during the work-up before haemofiltration. Intrahepatic portal block, with rapid tapering and marked tortuosity of portal branches as well as a very inhomogeneous and variable parenchymal pahse with poorly marginated underperfused areas and reversal of extrahepatic portal flow, was demonstrated.
D002404:Catheterization; D005374:Filtration; D006801:Humans; D008103:Liver Cirrhosis / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D011169:Portal Vein / Q000000981:diagnostic imaging*; D011859:Radiography; D012552:Schistosomiasis / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D014471:Umbilical Veins