A case of Schistosoma japonicum retroperitoneal pseudotumor diagnosed by cone-beam CT-guided coaxial biopsy system.

IF 0.9 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Acta radiologica open Pub Date : 2022-09-24 eCollection Date: 2022-09-01 DOI:10.1177/20584601221129153
Shu Matsushita, Shinichi Hamamoto, Ryo Morita, Michinori Shirano, Takeshi Inoue, Tomohisa Okuma, Takao Manabe
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Abstract

We report a rare case of retroperitoneal pseudotumor caused by Schistosoma japonicum that was diagnosed by computed tomography (CT) guided percutaneous biopsy in a 15-year-old Filipino male. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a mass lesion, including a mesenteric artery, in the right retroperitoneal space. His mother had a history of S. japonicum infection but his initial stool examination was negative. As schistosomiasis was suspected, cone-beam CT-guided biopsy was performed to enable transcatheter therapeutic arterial embolization to be performed immediately in the event of hemorrhage. Histopathological examination revealed schistosomal eggs. Cone-beam CT-guided technique with a coaxial biopsy system is a safe and accurate diagnostic procedure for S. japonicum retroperitoneal pseudotumor.

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锥形束ct引导同轴活检诊断日本血吸虫腹膜后假瘤1例。
我们报告一例罕见的由日本血吸虫引起的腹膜后假瘤,在15岁的菲律宾男性中通过计算机断层扫描(CT)引导下经皮活检诊断。计算机断层扫描(CT)和磁共振成像(MRI)显示肿块病变,包括肠系膜动脉,在右侧腹膜后间隙。其母亲有日本血吸虫感染史,但初步大便检查呈阴性。当怀疑为血吸虫病时,进行了锥束ct引导活检,以便在出血时立即进行经导管治疗性动脉栓塞。组织病理学检查发现血吸虫卵。锥形束ct引导技术与同轴活检系统是一种安全、准确的诊断日本血吸虫腹膜后假性肿瘤的方法。
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