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Review
. 2009 Mar-Apr;29(2):149-52.
doi: 10.4103/0256-4947.51800.

Disseminated peritoneal Schistosoma japonicum: a case report and review of the pathological manifestations of the helminth

Affiliations
Review

Disseminated peritoneal Schistosoma japonicum: a case report and review of the pathological manifestations of the helminth

Salah Al-Waheeb et al. Ann Saudi Med. 2009 Mar-Apr.

Abstract

Schistosomiasis (also known as bilharzia, bilharziasis, bilharziosis or snail fever) is a human disease syndrome caused by infection from one of several species of parasitic trematodes of the genus Schistosoma. The three main species infecting humans are S haematobium, S japonicum, and S mansoni. S japonicum is most common in the far east, mostly in China and the Philippines. We present an unusual case of S japonicum in a 32-year-old Filipino woman who had schistosomal ova studding the peritoneal cavity and forming a mass in the right iliac fossa.

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Figures

Figure 1
Figure 1
Ultrasound of the liver shows heterogenous echogenicity.
Figure 2
Figure 2
CT scan shows multiple dilated small bowel loops with multiple calcific peritoneal deposits.
Figure 3
Figure 3
Appendiceal wall studded with schistosomal ova (hematoxylin and eosin stain ×200).
Figure 4
Figure 4
Schistosoma Japonicum ova with characteristic lateral outpouchings (hematoxylin and eosin stain ×200).

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