[CT manifestation of abdomen and its pathology of patients with chronic schistosomiasis].
OBJECTIVE
To understand the abdominal CT manifestation and its pathology of patients with chronic schistosomiasis.


METHODS
The plain + enhanced CT scanning was performed in 42 patients with chronic schistosomiasis, and their tissues of biopsy and surgical resection were examined pathologically.


RESULTS
Among the 42 patients, schistosomiasis cirrhosis of liver was found in 36 cases, left lobe enlarged was found in 21 cases, and calcification was found in 32 cases. Portal vein and its tributaries calcification were found in 14 patients, and one of them was accompanied with transplanted hepatocellular carcinoma, 12 patients with stones in gallbladder, and 5 patients with ascites. Among the 19 patients with splenomegaly, 7 patients were accompanied with calcification. Intestinal wall thickening with linear and tram-like calcification was seen in 21 cases. Descending colon, sigmoidcolon, and rectum calcifications were found in 8 cases, and rectosigmoid calcification was found in 9 cases, rectum calcification was seen in 2 cases, and 2 patients were accompanied with colon carcinoma. The pathological examination showed fibrosis and calcified ova in liver, large intestine and gallbladder of the patients, but there were no ova in spleen.


CONCLUSIONS
Abdominal CT manifestation of patients with chronic schistosomiasis presents the damage of multiple organs in abdomen, and various calcifications are the main image characteristics.
Department of Radiology, Kunshan Traditional Chinese Medicine Hospital, Kunshan 215300, China.
Xing
X
Shen
Wei
W
Zhang
Pei-Jun
PJ
Wang
D034841:Abdominal Cavity / Q000000981:diagnostic imaging* / Q000473:pathology*; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy; D002908:Chronic Disease; D003106:Colon / Q000473:pathology; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012552:Schistosomiasis / Q000000981:diagnostic imaging* / Q000473:pathology*; D014057:Tomography, X-Ray Computed