CT Findings of Chronic Hepatic Schistosomiasis and Its Complications

Zhang Hong; Kong Peng; Li Chang Fu; Wang Guo Guang; Hu Ming Xiu; Meng Ling Ping

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Article Navigation > Journal of Kunming Medical University > 2016 > 37(12): 62-66

Zhang Hong , Kong Peng , Li Chang Fu , Wang Guo Guang , Hu Ming Xiu , Meng Ling Ping . CT Findings of Chronic Hepatic Schistosomiasis and Its Complications[J]. Journal of Kunming Medical University, 2016, 37(12): 62-66.

Citation:

Zhang Hong , Kong Peng , Li Chang Fu , Wang Guo Guang , Hu Ming Xiu , Meng Ling Ping . CT Findings of Chronic Hepatic Schistosomiasis and Its Complications[J]. Journal of Kunming Medical University, 2016, 37(12): 62-66.

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CT Findings of Chronic Hepatic Schistosomiasis and Its Complications

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基金：上海市卫生计生委课题面上基金资助项目(201540242);

Received Date: 2016-08-30

Abstract

Abstract

Objective To analyze the CT characteristics of chronic schistosomiasis liver disease,in order to improve the accuracy of CT diagnosis for the disease.Methods We analyzed the CT features of 125 cases of clinical pathology diagnosis of chronic schistosomiasis liver and of 50 normal control group,and measured the hepatic lobe lines and spleen index.Results(1) Schistosoma calcification:In 125 cases,there were 120 patients with varying degrees of liver calcification, in which 76 cases of intrahepatic or subcapsularlinear calcification,44 cases of reticular or map-like calcification,33 cases of calcification portal system,15 cases of spleen calcification,85 cases of intestinal wall calcification;(2) Morphological changes of the liver and spleen:The transverse diameter of the left hepatic lobe,caudate lobe,and caudate lobe-right lobe ratio were larger in patients with chronic schistosomiasis than controls,the transverse diameter of the right hepatic lobe were smaller and there were statistically difference(P<0.001).There were 82 cases of expanded gallbladder fossa in chronic schistosomiasis.Splenic index in patients with chronic schistosomiasis and had no obvious difference in the control group(P>0.05);(3) Schistosomiasis liver's complications:there were 43 cases of cholecystitis and cholelithiasis,11 cases of liver cancer,5 cases of colon cancer,3 cases of bladder cancer.Conclusion Intrahepatic calcification and the left hepatic lobe and caudate lobe enlargement are CT signs of chronic schistosomiasis,which is often merged with many complications.
- Schistosomiasis,
- Liverdisease,
- Complication,
- Computed tomography

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References(19)

References

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