Unusual cause of lesions in the descending duodenum and liver:A case report and review of literature  

作　　者：Zhuang-Long Xiao Ke-Shu Xu Yu-Hu Song 

机构地区：[1]Division of Gastroenterology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology

出　　处：《World Journal of Clinical Cases》2018年第11期472-476,共5页世界临床病例杂志

基　　金：Supported by National Natural Science Foundation of China,No.81270506 and No.81570555;Clinical Research Physician Program of Tongji Medical College,No.HUST(2017)

摘　　要：The descending duodenum is rarely involved in Schistosoma japonicum(S. japonicum) infection. Here, we report a case of acute Schistosoma infection, which presented with abdominal pain, abdominal distension and irregular fever. Tumor-like lesions were observed in the descending duodenum. Simultaneously, heterogeneity in hepatic perfusion was demonstrated by dynamic computed tomography scanning. Biopsy of the descending duodenum showed the deposition of Schistosoma eggs. Following administration of the antihelminthic drug praziquantel, the patient showed rapid clinical improvement. In conclusion, we report a patient with acute S. japonicum infection presenting as tumor-like lesions in the descending duodenum and heterogeneity of blood perfusion in liver parenchyma.The descending duodenum is rarely involved in Schistosoma japonicum(S. japonicum) infection. Here, we report a case of acute Schistosoma infection, which presented with abdominal pain, abdominal distension and irregular fever. Tumor-like lesions were observed in the descending duodenum. Simultaneously, heterogeneity in hepatic perfusion was demonstrated by dynamic computed tomography scanning. Biopsy of the descending duodenum showed the deposition of Schistosoma eggs. Following administration of the antihelminthic drug praziquantel, the patient showed rapid clinical improvement. In conclusion, we report a patient with acute S. japonicum infection presenting as tumor-like lesions in the descending duodenum and heterogeneity of blood perfusion in liver parenchyma.

关 键 词：SCHISTOSOMA JAPONICUM Heterogeneity DUODENUM Tumor-like LESIONS LIVER 

分 类 号：R[医药卫生]