Radiology corner. Answer to last month's radiology case and images: Schistosomiasis japonicum involving the liver and colon.
Abdominal radiography showed subtle curvilinear densities overlying the left lower quadrant and central within the pelvis (Fig. 1a). This was confirmed on intravenous contrast-enhanced abdominopelvic CT to be caused by thin mucosal surface calcifications within the descending and sigmoid colons (Fig. 1b, c). Incidental note is made of thin right hepatic lobe capsule calcifications (Fig. 1d). These colonic and hepatic calcifications are characteristic of Schistosomiasis infection of the gastrointestinal tract. Liver biopsy confirmed Schistosomiasis japonicum infection.
Ly
Justin Q
JQ
Wilford Hall Medical Center, USA.
Sanders
Timothy G
TG
Folio
Les
L
D000818:Animals; D001706:Biopsy; D003108:Colonic Diseases / Q000000981:diagnostic imaging* / Q000469:parasitology / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007411:Intestinal Diseases, Parasitic / Q000000981:diagnostic imaging* / Q000469:parasitology / Q000473:pathology; D008099:Liver / Q000000981:diagnostic imaging / Q000469:parasitology / Q000473:pathology; D008109:Liver Diseases, Parasitic / Q000000981:diagnostic imaging* / Q000469:parasitology / Q000473:pathology; D008875:Middle Aged; D012549:Schistosoma japonicum / Q000302:isolation & purification; D012554:Schistosomiasis japonica / Q000000981:diagnostic imaging* / Q000469:parasitology / Q000473:pathology; D014057:Tomography, X-Ray Computed