Andrianah Gabrielle Emmylou Prisca, Rakotomena Davidà, Rakotondrainibe Aurélia, Rajaonarison Ny Ony Lova Hasina Narindra, Ranoharison Hasina Dina, Ratsimba Hery Rakoto, Rajaonera Tovo, Ahmad Ahmad
Medical Imaging, Center of the University Hospital of Joseph Ravoahangy Andrianavalona Antananarivo, Madagascar.
Visceral Service, Center of the University Hospital of Joseph Ravoahangy Andrianavalona Antananarivo, Madagascar.
J Med Ultrasound. 2020 Mar 17;28(1):41-43. doi: 10.4103/JMU.JMU_16_19. eCollection 2020 Jan-Mar.
Periportal fibrosis is one of the major complications of schistosomiasis infection. Specific images of this infection revealed by ultrasonography allow the assessment of the different stages. Our purpose is to describe the ultrasonographic appearances of periportal fibrosis due to schistosomiasis infection.
The study was retrospective descriptive in the Medical Imagery Centre of CHUJRA.
A total of 29 patients showed upper and/or lower digestive hemorrhage and a positive result in schistosomiasis serology. The median age was 41.2 years. Male gender dominated with 54.7%. In 78.3% of the cases, the patients were farmers in schistosomiasis-endemic areas. On ultrasonography, 81.3% were found to present Stage III periportal fibrosis, 11.5% presented Stage II, and 7.2% presented Stage I. There was no case of portal thrombosis. Splenomegaly was found in 83.2% of the cases and hepatomegaly in 48.9% of the cases. Porto-systemic shunt was detected in 80.7% of the cases and ascites in 72.3%.
Ultrasonography examination represents an important role in the diagnosis of periportal fibrosis, in its staging process, and allows the assessment of porto-systemic, hepatic, and splenic alterations.
门周纤维化是血吸虫病感染的主要并发症之一。超声检查所显示的这种感染的特定图像有助于评估不同阶段。我们的目的是描述血吸虫病感染所致门周纤维化的超声表现。
该研究在朱拉大学医学影像中心进行，属于回顾性描述性研究。
共有29例患者出现上消化道和/或下消化道出血，血吸虫病血清学检测呈阳性。中位年龄为41.2岁。男性占主导，占54.7%。在78.3%的病例中，患者为血吸虫病流行地区的农民。超声检查发现，81.3%的患者呈现门周纤维化Ⅲ期，11.5%呈现Ⅱ期，7.2%呈现Ⅰ期。无门静脉血栓形成病例。83.2%的病例发现脾肿大，48.9%的病例发现肝肿大。80.7%的病例检测到门体分流，72.3%的病例检测到腹水。
超声检查在门周纤维化的诊断及其分期过程中发挥着重要作用，并且能够评估门体、肝脏和脾脏的改变。
