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Ultrasonography of gallbladder abnormalities due to schistosomiasis

2016-05-12Journal article Restricted access
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dc.contributor.authorRichter, J.
dc.contributor.authorAzoulay, D.
dc.contributor.authorDong, Y.
dc.contributor.authorHoltfreter, M.C.
dc.contributor.authorAkpata, R.
dc.contributor.authorCalderaro, J.
dc.contributor.authorEl-Scheich, T.
dc.contributor.authorBreuer, M.
dc.contributor.authorNeumayr, A.
dc.contributor.authorHatz, C.
dc.contributor.authorKircheis, G.
dc.contributor.authorBotelho, M.C.
dc.contributor.authorDietrich, C.F.
dc.date.accessioned2016-06-21T14:54:05Z
dc.date.available2017-06-01T00:30:11Z
dc.date.issued2016-05-12
dc.description.abstractAfter malaria, schistosomiasis remains the most important tropical parasitic disease in large parts of the world. Schistosomiasis has recently re-emerged in Southern Europe. Intestinal schistosomiasis is caused by most Schistosoma (S.) spp. pathogenic to humans and leads to chronic inflammation and fibrosis of the colon as well as to liver fibrosis. Gallbladder abnormalities usually occur in patients with advanced hepatic portal fibrosis due to Schistosoma mansoni infection. Occasionally, gallbladder abnormalities have been seen also in children and occurring without associated overt liver abnormalities.The specific S. mansoni-induced gallbladder abnormalities detectable by ultrasound include typical hyperechogenic wall thickening with external gallbladder wall protuberances. The luminal wall surface is smooth. The condition is usually clinically silent although some cases of symptomatic cholecystitis have been described. The ultrasonographic Murphy response is negative. Gallbladder contractility is impaired but sludge and calculi occur rarely. Contrary to other trematodes such as liver flukes, S. mansoni does not obstruct the biliary tract. Advanced gallbladder fibrosis is unlikely to reverse after therapy.pt_PT
dc.identifier.citationParasitol Res. 2016 Aug;115(8):2917-24. doi: 10.1007/s00436-016-5116-0. Epub 2016 May 12.pt_PT
dc.identifier.doi10.1007/s00436-016-5116-0pt_PT
dc.identifier.issn0932-0113
dc.identifier.urihttp://hdl.handle.net/10400.18/3842
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Verlag (Germany)pt_PT
dc.relation.publisherversionhttp://link.springer.com/article/10.1007%2Fs00436-016-5116-0pt_PT
dc.subjectCholecystitispt_PT
dc.subjectCholecystolithiasispt_PT
dc.subjectFibrosispt_PT
dc.subjectGallbladder Diseasept_PT
dc.subjectHepatosplenic schistosomiasispt_PT
dc.subjectImagingpt_PT
dc.subjectPortal Liver Fibrosispt_PT
dc.subjectSchistosoma haematobiumpt_PT
dc.subjectSchistosoma japonicumpt_PT
dc.subjectSchistosoma mansonipt_PT
dc.subjectSchistosoma sppt_PT
dc.subjectSchistosomiasispt_PT
dc.subjectUltrasonographypt_PT
dc.titleUltrasonography of gallbladder abnormalities due to schistosomiasispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage8pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleParasitology Researchpt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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