Xiao ZL, Xu KS, Song YH. Unusual cause of lesions in the descending duodenum and liver: A case report and review of literature. World J Clin Cases 2018; 6(11): 472-476 [PMID: 30294613 DOI: 10.12998/wjcc.v6.i11.472]
Corresponding Author of This Article
Yu-Hu Song, PhD, MD, Professor, Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. 2009xh0899@hust.edu.cn
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2018; 6(11): 472-476 Published online Oct 6, 2018. doi: 10.12998/wjcc.v6.i11.472
Unusual cause of lesions in the descending duodenum and liver: A case report and review of literature
Zhuang-Long Xiao, Ke-Shu Xu, Yu-Hu Song
Zhuang-Long Xiao, Ke-Shu Xu, Yu-Hu Song, Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
Author contributions: Xiao ZL, Xu KS and Song YH collected the case data; Song YH and Xiao ZL wrote the manuscript.
Supported byNational Natural Science Foundation of China, No. 81270506 and No. 81570555; Clinical Research Physician Program of Tongji Medical College, No. HUST (2017).
Informed consent statement: All patients completed informed consent forms.
Conflict-of-interest statement: None of the authors have a conflict of interest to report.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Yu-Hu Song, PhD, MD, Professor, Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. 2009xh0899@hust.edu.cn
Telephone: +86-27-85726678 Fax: +86-27-85726057
Received: April 27, 2018 Peer-review started: April 27, 2018 First decision: June 20, 2018 Revised: July 26, 2018 Accepted: August 19, 2018 Article in press: August 20, 2018 Published online: October 6, 2018 Processing time: 154 Days and 20 Hours
ARTICLE HIGHLIGHTS
Case characteristics
A 47-year-old male farmer presented with persistent abdominal pain, abdominal distension and irregular low fever.
Clinical diagnosis
The diagnosis of parasitic disease was made by serological test or histological examinations.
Differential diagnosis
Differential diagnosis with malignant lesions due to the thickening and the destruction of the descending duodenal wall.
Laboratory diagnosis
Serological tests for anti-Schistosoma antibody (ELISA) were positive.
Imaging diagnosis
Dynamic abdominal computed tomography (CT) scanning showed heterogeneous hypointensity in the liver, thickening of the descending duodenal wall, swollen mesentery around the arteries, and ascites.
Pathological diagnosis
Pathologic examination of the descending duodenum showed the deposition of Schistosoma eggs and infiltration of eosinophils.
Treatment
The patient received the antihelminthic drug praziquantel.
Related reports
The infection of Schistosoma japonicum (S. japonicum) is primarily found in the mesenteric veins and tends to involve the colon, rectum and liver, and occasionally the duodenum.
Experiences and lessons
S. japonicum infection should be considered when patients have tumor-like lesions in the duodenum or hepatic heterogeneous hypointensity on dynamic CT.
