AJR InPractice
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Monzawa, S.
Right arrow Articles by Araki, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Monzawa, S.
Right arrow Articles by Araki, T.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Hotlight (NEW!)
Right arrow
What's Hotlight?

American Journal of Roentgenology, Vol 161, 323-327, Copyright © 1993 by American Roentgen Ray Society

ARTICLES

Schistosomiasis japonica of the liver: contrast-enhanced CT findings in 113 patients

S Monzawa, G Uchiyama, K Ohtomo and T Araki
Department of Radiology, Yamanashi Medical College, Japan.

OBJECTIVE. The purpose of this study was to determine the findings on contrast-enhanced CT scans in patients with hepatic schistosomiasis japonica and to determine their pathologic basis. MATERIALS AND METHODS. Unenhanced and contrast-enhanced CT scans of 113 patients with histologically proved schistosomiasis were reviewed. Radiologic and pathologic findings were correlated after autopsy in 19 patients. RESULTS. Unenhanced CT scans showed septal calcification in the liver parenchyma in 53 patients (47%) and capsular calcification along the hepatic surface in 29 patients (26%). Twenty-seven patients (24%) had both types of calcification. Fifty-four patients (48%) showed one or more types of enhancement. Septal enhancement (i.e., linear enhancement of hepatic parenchyma looking like septa in the liver) was seen in 52 patients (46%). Forty-seven of the 53 patients who had septal calcification on unenhanced CT scans had septal enhancement on scans obtained after the administration of contrast material. The enhancement was found at sites of septal calcification in 44 patients and at noncalcified sites in 18 (15 had enhancement at both calcified and noncalcified sites). Five of 60 patients who did not have septal calcification on unenhanced CT scans had septal enhancement at noncalcified sites on scans obtained after the administration of contrast material. Amorphous enhancement (i.e., poorly defined and irregularly shaped enhancement) was seen in six patients (5%). Capsular enhancement (i.e., curvilinear enhancement along the hepatic surface) was seen in 12 patients (11%). Histologic studies showed broad fibrous septa at sites of septal enhancement. CONCLUSION. CT findings in patients with schistosomiasis japonica involving the liver include septal, amorphous, and capsular contrast enhancement. Septal enhancement occurs in broad fibrous septa. CT evidence of septal enhancement may suggest the diagnosis of hepatic schistosomiasis japonica, especially when no calcification is seen on unenhanced CT scans.
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1993 by the American Roentgen Ray Society.