Page 1 of 1: Radiodiagnosis : Calcification

rsvv79 · Credits: 5334 My Scrapbook

'Turtle Back' calcification in abdominal/pelvic X-Ray is seen in

1. Chronic Pancreatitis
2. Uterine Fibroid
3. Bladder Schistosomiasis
4. Faecolith

Iam unable to find any reference for this one.The ans given is 3.So friends please help.

draditithegreat · Credits: 1247960 My Scrapbook

Turtleback liver on CT and ultrasound: Schistosoma japonica revisited.

Albertyn LE, Ganguly BS, Cooper JE, Fataar S.

Department of Radiology, Queen Elizabeth Hospital, Woodville, South Australia .

Schistosomiasis in its many forms still presents a major public health challenge. Its tendency to cause dystrophic calcification makes it ideal for radiologic study. With population movement the disease may be encountered in unexpected countries especially with the sensitivity of CT to the presence of calcium. S. japonica produces pathognomonic "turtleback" calcification in the liver, in association with hepatic fibrosis but not necessarily cirrhosis. This paper illustrates a classic case and reviews the literature.

draditithegreat · Credits: 1247960 My Scrapbook

Hepatic Schistosomiasis japonica in a patient with gallstones and bile duct stones--a case report.

Lin JN, Yen CM, Liu CS, Tsai MS, Kuo KK.

Department of Emergency, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

Schistosomiasis, a common parasitic disease in many countries, is found as imported cases in Taiwan. Responsible for human infections are five species, one of which, Schistosoma japonicum, is currently endemic in China and South-east Asia. Chronic infection with S. japonicum may lead to the development of liver fibrosis, calcification and portal hypertension. Under investigation by sonography and computed tomography (CT) scan, a peculiar "turtle-back" appearance of liver fibrosis and calcification may be found. Herein, we report a case referred to our department due to jaundice. The sonography of liver showed typical "turtle-back" appearance. Gallstones and bile duct stones were also found in this case. Surgical interventions with percutaneous transhepatic biliary drainage (PTBD), cholecystectomy and choledocholithotomy were performed to relieve the obstructive jaundice and remove the stones. There were no parasitic eggs in the extracted stones or in drained bile juice. However, deposits of calcified S. japonicum eggs in liver parenchyma and portal tracts were identified in liver biopsy. No special treatment was given for the schistosomiasis japonica because the calcified parasitic eggs were the sequelae of past infection.

manpreet108 · Credits: 30682 My Scrapbook

so means the qn is wrongly framed?

btw--schistosoma hematobium in bladder ,calcified,gives appearance like fetal head.
pls correct me if i m wrong.

drada · Credits: 45712 My Scrapbook My Reading List 2 Books

i DONT THINK THAT IT IS FOR BLADDER!IT SEEMS TO B 4 LIVER?

draditithegreat · Credits: 1247960 My Scrapbook

yup! question is wrongly framed! still we shud know the facts!
cant help there are many such question:

btw hematobium is found in the vesical and rest ie japonicum,mansoni are found in the mesentric veins!

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