SCHISTOSOMIASIS JAPONICA DIAGNOSED BY NEEDLE BIOPSY OF THE LIVER

Abstract
Schistosomiasis japonica is predominantly a disease of the portal circulation. The organs most extensively affected are the intestines and the liver, through the development of the adult worms in the portal venules and disposition of ova in the minute hepatic and intestinal blood vessels. The frequent successful means of definitive diagnosis generally used are the demonstration of the ova in the stools or in a rectal biopsy specimen.1In the case presented here, these methods gave negative results and a needle biopsy of the liver finally established the diagnosis. A review of the literature by the authors failed to reveal reports of the use of this technique of diagnosis, though it was suggested as a method worthy of investigation in 1949.2A 49-year-old white man was admitted to Letterman Army Hospital on July 15, 1953, with complaint of convulsive seizures for the past six months. He was confined

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