Skip to main content

Advertisement

SpringerLink
Log in

Schistosomiasis of the liver

  • Published:
Abdominal Imaging Aims and scope Submit manuscript

Abstract

Schistosomiasis is an infection of trematodes, Schistosoma, causing periportal fibrosis and liver cirrhosis due to deposition of eggs in the small portal venules. In schistosomiasis caused by S. mansoni, sonography shows echogenic thickening or fibrotic band along the portal veins. CT shows low-attenuation bands or rings around the large portal vein branches in the central part of the liver with marked enhancement. Hepatoplenomegaly, liver cirrhosis, portal hypertension and gastroesophageal varies are commonly associated. In schistosomiasis caused by S. japonicum, sonography shows echogenic septae in the liver, utlining the polygonal liver lobules, mimicking “fish-scale” network appearance, reflecting fibrosis. CT shows periportal septae in the peripheral part of the liver parenchyma, producing “turtle-back” appearance, representing calcified eggs along the portal tracts. The portal tracts and hepatic capsule are enhanced on contrast-enhanced CT images. The size and shape of the liver are relatively preserved. MR images show fibrous septae as low signal intensity on T1-weighted images, high signal intensity on T2-weighted images, and these fibrous septae are enhanced. CT images of the lungs show multiple scattered nodules with halo of ground-glass opacities. Exudative granulomatous inflammation of the colonic wall may produce inflammatory polyps, fibrous thickening or stenosis of the colonic wall.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.
Fig. 6.
Fig. 7.
Fig. 8.
Fig. 9.
Fig. 10.
Fig. 11.
Fig. 12.
Fig. 13.
Fig. 14.
Fig. 15.
Fig. 16.

Similar content being viewed by others

References

  1. World Health Organization. Prevention and control of schistosomiasis and soil-transmitted helminthiasis. WHO Technical Report Series, vol 912. Geneva, Switzerland: World Health Organization

  2. Orihel TC, Ash LR (1995) Parasites in human tissues, 1st ed. Hong Kong: American Society of Clinical Pathologists Press, pp 276–287

    Google Scholar 

  3. Chitsulo L, Engels D, Montresor A, et al. (2000) The global status of schistosomiasis and its control. Acta Trop 77:41–51

    Article  PubMed  CAS  Google Scholar 

  4. Monzawa S, Uchiyama G, Ohtomo K, et al. (1993) Schistosomiasis japonica of the liver: contrast enhanced CT findings in 113 patients. AJR 161:323–327

    PubMed  CAS  Google Scholar 

  5. Yosry A (2006) Schistosomiasis and neoplasia. Contrib Microbiol 13:81–100

    Article  PubMed  Google Scholar 

  6. Abdel-Rahim AY (2001) Parasitic infections and hepatic neoplasia. Dig Dis 19:288–291

    Article  PubMed  CAS  Google Scholar 

  7. Kojiro M, Kakizoe S, Yano H, et al. (1986) Hepatocellular carcinoma and schistosomiasis japonica: a clinicopathologic study of 59 autopsy cases of hepatocellular carcinoma associated with chronic schistosoma japonica. Acta Pathol Jpn 36:525–532

    PubMed  CAS  Google Scholar 

  8. Cesmeli E, Vogelaers D, Voet D, et al. (1997) Ultrasound and CT of liver parenchyma in acute schistosomiasis. Br J Radiol 70:758–760

    PubMed  CAS  Google Scholar 

  9. Mortele KJ, Segato E, Ros PR (2004) The infected liver: radiologic–pathologic correlation. Radiographics 24:937–955

    Article  PubMed  Google Scholar 

  10. Cheung H, Lai YM, Loke TK, et al. (1996) The imaging diagnosis of hepatic schistosomiasis japonicum sequelae. Clin Radiol 51:51–55

    Article  PubMed  CAS  Google Scholar 

  11. Cerri GG, Alves VAF, Magalhases A (1984) Hepatosplenic schistosomiasis mansoni: ultrasound manifestations. Radiology 153:777–780

    PubMed  CAS  Google Scholar 

  12. Fataar S. Bassiony H, Satyanath S, et al. (1985) CT of hepatic schistosomiasis mansoni. AJR Am J Roentgenol 145:63–66

    Google Scholar 

  13. Patel SA, Castillo DF, Hibbeln JF, et al. (1993) Magnetic resonance imaging appearance of hepatic schistosomiasis, with ultrasound and computed tomography correlation. Am J Gastroenterol 88:113–116

    PubMed  CAS  Google Scholar 

  14. Nompleggi DJ, Farraye FA, Singer A, et al. (1991) Hepatic schistosomiasis: report of two cases and literature review. Am J Gastroenterol 86:1658–1664

    PubMed  CAS  Google Scholar 

  15. Araki T, Hayakawa K, Okada J, et al. (1985) Hepatic schistosoma japonica identified by CT. Radiology 157:757–760

    PubMed  CAS  Google Scholar 

  16. Nguyen L-Q, Estrella J, Jett EA, Grunvald EL, Nicholson L, Levin DL. (2006) Acute shictosomiasis in nonimmune travelers: chest CT findings in 10 patients. AJR Am J Roentgenol 186:1300–1303

    Article  PubMed  Google Scholar 

  17. Elmasri SH, Boulos PB (1976) Bilhalzial granuloma of the gastrointestinal tract. Br J Surg 63:887–890

    Article  PubMed  CAS  Google Scholar 

  18. Iyer HV, Abaci IF, Rehnke EC, et al. (1985) Intestinal obstruction due to schistosomiasis. Am J Surg 149:409–411

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Hospital das Clinicas, Universidade Federal de Pernambuco in Recife, Recife, Brazil

    Adonis Manzella

  2. Department of Radiology, University of Tokyo School of Medicine, Tokyo, Japan

    Kuni Ohtomo

  3. Department of Radiology, Akashi Municipal Hospital, Hyogo, Japan

    Shuichi Monzawa

  4. Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, Seoul , 135-710, South Korea

    Jae Hoon Lim

Authors
  1. Adonis Manzella
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kuni Ohtomo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shuichi Monzawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jae Hoon Lim
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jae Hoon Lim.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Manzella, A., Ohtomo, K., Monzawa, S. et al. Schistosomiasis of the liver. Abdom Imaging 33, 144–150 (2008). https://doi.org/10.1007/s00261-007-9329-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-007-9329-7

Key words

Search

Navigation