Splenic palpation for the evaluation of morbidity due to schistosomiasis mansoni

Gerspacher-Lara, Rogério; Pinto-Silva, Rogério Augusto; Serufo, José Carlos; Rayes, Abdunnabi Ahmed Mustafa; Drummond, Sandra; Lambertucci, José Roberto

doi:10.1590/s0074-02761998000700045

Cited by 30 publications

(26 citation statements)

References 7 publications

(7 reference statements)

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“…A palpable liver has been described in different proportions of normal people. Riedel's lobe (a tongue-like process occasionally extending downward from the right lobe of the liver laterally to the gallbladder) should also be considered in cases of increased right liver lobe size in schistosomiasis [16][17][18][19] .…”

Section: Clinical Definition Of Hepatosplenicmentioning

confidence: 99%

Revisiting the concept of hepatosplenic schistosomiasis and its challenges using traditional and new tools

Lambertucci

2014

Rev. Soc. Bras. Med. Trop.

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Different aspects of hepatosplenic schistosomiasis are revisited here. Manson's schistosomiasis causes periportal fi brosis and portal hypertension in approximately 6% of infected subjects, usually with preservation of their hepatic function. The assessment of liver involvement is of major importance in determining the prognosis and risk of complications from schistosomiasis, such as upper digestive bleeding secondary to variceal rupture. For many years, the diagnosis of hepatosplenic schistosomiasis and liver fi brosis was made by abdominal palpation and the fi nding of liver and/or spleen enlargement. However, there is no consensus regarding the clinical parameters of the liver and spleen to be considered in this physical evaluation. For the last three decades, abdominal ultrasound (US) has become the best imaging technique to evaluate liver fi brosis caused by schistosomiasis mansoni. However, US is a subjective procedure and is therefore examiner-dependent. Magnetic resonance imaging (MRI) fi ndings have provided valuable information in addition to ultrasound and clinical examination. The combination of a comprehensive history and physical examination, basic laboratory tests (a stool examination for Schistosoma mansoni eggs and a blood cell count), biomarkers for liver fi brosis/portal hypertension and imaging methods seem to offer the best approach for evaluating patients with this disease. In situations where research is involved or in patients with severe disease, MRI may be considered.

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Section: Clinical Definition Of Hepatosplenicmentioning

confidence: 99%

Revisiting the concept of hepatosplenic schistosomiasis and its challenges using traditional and new tools

Lambertucci

2014

Rev. Soc. Bras. Med. Trop.

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“…It is an indirect method of diagnosis and classification of the disease (Abdel-Latif et al 1981, Cerri et al 1984, Fataar et al 1984, Homeida et al 1988, Pinto-Silva et al 1994, Gerspacher-Lara et al 1998. US in hepatosplenic schistosomiasis shows characteristic alterations, such as echogenic thickening of the walls of the portal vein and its branches, corresponding to periportal fibrosis and echogenic enlargement of the gallbladder wall.…”

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confidence: 99%

Schistosoma mansoni: magnetic resonance analysis of liver fibrosis according to WHO patterns for ultrasound assessment of schistosomiasis-related morbidity

Silva

Andrade

Queiroz

et al. 2010

Mem. Inst. Oswaldo Cruz

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For the last two decades, ultrasound (US) has been considered a surrogate for the gold standard in the evaluation of liver fibrosis in schistosomiasis. The use of magnetic resonance imaging (MRI) is not yet standardised for diagnosing and grading liver schistosomal fibrosis. The aim of this paper was to analyse MRI using an adaptation of World Health Organization (WHO) patterns for US assessment of schistosomiasis-related morbidity. US and MRI were independently performed in 60 patients (42.1 ± 13.4 years old), including 37 men and 23 women with schistosomiasis. Liver involvement appraised by US and MRI was classified according to the WHO protocol from patterns A-F. Agreement between image methods was evaluated by kappa index (k). The correlation between US and MRI was poor using WHO patterns [k = 0.14; confidence interval (CI) 0.02; 0.26]. Even after grouping image patterns as "A-D", "Dc-E" and "Ec-F", the correlation between US and MRI remained weak (k = 0.39; CI 0.21; 0.58). The magnetic resonance adaptation used in our study did not confirm US classification of WHO patterns for liver fibrosis

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“…Gesparcher- Lara et al (1998), studying the value of spleen palpation in the evaluation of morbidity in schistosomiasis mansoni, found low sensitivity and positive predictive values for a palpable spleen to diagnose hepatosplenic schistosomiasis in endemic areas. Lambertucci et al (2000Lambertucci et al ( , 2001 and Cota et al (2006), in field-pendent reference values to enhance the precision of US evaluation of abdominal organs.…”

Section: Discussionmentioning

confidence: 99%

Clinical versus ultrasound examination in the evaluation of hepatosplenic schistosomiasis mansoni in endemic areas

Marinho

Voieta

Azeredo

et al. 2006

Mem. Inst. Oswaldo Cruz

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Splenic palpation for the evaluation of morbidity due to schistosomiasis mansoni

Abstract: This study was undertaken to determine the accuracy of splenic palpation for the diagnosis of splenomegaly, and

Cited by 30 publications

References 7 publications

Revisiting the concept of hepatosplenic schistosomiasis and its challenges using traditional and new tools

Revisiting the concept of hepatosplenic schistosomiasis and its challenges using traditional and new tools

Schistosoma mansoni: magnetic resonance analysis of liver fibrosis according to WHO patterns for ultrasound assessment of schistosomiasis-related morbidity

Clinical versus ultrasound examination in the evaluation of hepatosplenic schistosomiasis mansoni in endemic areas

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