Sonomorphological Abnormalities in Sudanese Children with Schistosoma Mansoni Infection: A Proposed Staging-System for Field Diagnosis of Periportal Fibrosis
Autor: | Christoph Kaiser, Doris Franke, Ghorashi Mohamed-Ali, Jochen H. H. Ehrich, R Kardorff, Ekkehard Doehring-Schwerdtfeger, I. M. Abdel-Rahim, Mamoun Elsheikh |
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Rok vydání: | 1989 |
Předmět: |
Male
Pathology medicine.medical_specialty Time Factors Adolescent Liver Diseases Parasitic Helminthiasis Schistosomiasis Sudan Virology Humans Medicine Child Staging system Splenic Diseases Ultrasonography biology Portal Vein business.industry Gallbladder Portal Vein Bifurcation Echogenicity medicine.disease biology.organism_classification Fibrosis Schistosomiasis mansoni Infectious Diseases medicine.anatomical_structure Periportal fibrosis Female Parasitology Schistosoma mansoni business |
Zdroj: | Europe PubMed Central |
ISSN: | 1476-1645 0002-9637 |
Popis: | For the purpose of staging sonographical abnormalities induced by Schistosoma mansoni infection in childhood, 536 patients aged 6-15 years underwent extensive sonographical examination. Specific findings of periportal fibrosis were classified in 3 grades and occurred in study patients but not in controls (n = 60). Grade I consisted of echogenic bands usually with a diameter greater than 4 mm that were best visible in the area of the portal vein bifurcation and gallbladder neck. Frequently a continuous U-shaped echogenic structure extended from the left portal branch to the gallbladder bed. Grade II was characterized by echogenic bands usually greater than 10 mm in diameter around the central part and major branches of the portal vein. In addition to features common to grade II, grade III included streak-like fibrous bands that were not confined to portal vein lumina but extended into the periphery of the liver. Sonographical abnormalities encountered in children with S. mansoni infection differed significantly from those in adults. |
Databáze: | OpenAIRE |
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