The role of diagnostic imaging and interventional radiology in liver schistosomiasis: A case report of advanced disease

Radiology of Infectious Diseases Pub Date : 2020-09-01 DOI:10.1016/j.jrid.2020.03.007

Carmelo Cicciò , Giovanni Foti , Luigi Romano , Federico Gobbi , Eugenio Oliboni , Zeno Bisoffi , Giovanni Carbognin

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引用次数: 1

Abstract

Schistosomiasis is a neglected disease caused by trematode worms, affecting multiple target organs (predominantly the liver and urinary system) and presenting in wide spectrum including both acute and chronic forms; potential risks include liver fibrosis, portal hypertension, urinary tract obstruction, hydronephrosis, bladder cancer and reproductive tract disease. Diagnosis is mainly based on the evidence of infestation by parasitological, serological and molecular methods in body fluids (urine, stools and blood) and/or tissue specimens. Diagnostic imaging modalities (Ultrasonography, US; Computed Tomography, CT; Magnetic Resonance Imaging, MRI) support clinical-laboratoristic diagnosis with added value in evaluation of severity of morbidity and effectiveness of treatments. In most cases, early repeated anthelmintic chemotherapy can prevent the onset of advanced disease manifestations. Interventional radiology may offer an effective treatment option in case of variceal bleeding in advanced liver disease with portal hypertension resistant to conventional therapies.

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影像学和介入放射学在肝血吸虫病诊断中的作用:1例晚期病例报告

血吸虫病是由吸虫引起的一种被忽视的疾病，影响多个目标器官(主要是肝脏和泌尿系统)，表现形式广泛，包括急性和慢性形式;潜在的风险包括肝纤维化、门脉高压、尿路梗阻、肾积水、膀胱癌和生殖道疾病。诊断主要基于体液(尿液、粪便和血液)和/或组织标本中的寄生虫学、血清学和分子方法的感染证据。诊断成像方式(超声，美国;计算机断层扫描;磁共振成像(MRI)支持临床-实验室诊断，在评估发病率的严重程度和治疗的有效性方面具有附加价值。在大多数情况下，早期反复进行驱虫药化疗可以预防晚期疾病表现的发生。介入放射学可以提供一个有效的治疗方案，在情况下静脉曲张出血晚期肝病门静脉高压抵抗常规治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Radiology of Infectious Diseases

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