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放射学专栏。上月放射学病例及影像解答:日本血吸虫病累及肝脏和结肠。

Radiology corner. Answer to last month's radiology case and images: Schistosomiasis japonicum involving the liver and colon.

作者信息

Ly Justin Q, Sanders Timothy G, Folio Les

机构信息

Wilford Hall Medical Center, USA.

出版信息

Mil Med. 2007 Feb;172(2):xi-xii.

PMID:17357784
Abstract

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.

摘要

腹部X线检查显示左下腹及盆腔中部有细微的曲线状密度影(图1a)。静脉注射对比剂增强的腹部盆腔CT证实,这是由降结肠和乙状结肠内薄的黏膜表面钙化所致(图1b、c)。偶然发现右肝叶包膜有薄的钙化影(图1d)。这些结肠和肝脏的钙化是胃肠道血吸虫病感染的特征。肝活检证实为日本血吸虫感染。

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