A NEW DIAGNOSIS OF SCHISTOSOMIASIS JAPONICA BY NEEDLE BIOPSY OF THE LIVER
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概要
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Schistosomiasis japonica is a disease prevailing in several districts of Japan. The exact diagnosis hitherto made is based on the discovery of eggs in the patient's feces. It is, however, said that the egg is found in the feces of thepatient in only 70 to 80%(1). After invasion in human body cercariae are carried by the blood stream and reach the portal system and stay there for 4 to 5 weeks until they lay eggs. The eggs are carried by the blood stream and form emboli in the intestine and the liver. In the intestinal wall ulcer is formed by the secretion from the miracidia of the egg and a group of eggs is discharged into the lumen of the intestine. This group of eggs is found in the feces. On the other hand, the other group which forms emboli in the periphery of the liver can be found by needle biopsy of the liver. Needle biopsy of the liver was first introduced by Lucatello (2) and was followed by Schupher (3), Bingel (4) and many others for the purpose of histological investigation or that of fresh cell examination only, but never for the detection of eggs. It came to my mind that by means of the needle biopsy of the liver method the eggs should be found very easily in such an early stage of forming emboli around the liver lobules. For this reason, in a doubtful case, I usually try this method. As soon as a puncture is made a portion of the liver is examined microscopically. By this means I was able to detect eggs far earlier than they were found in the feces. The followings are the examples I have experienced.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
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関連論文
- FURTHER OBSERVATIONS OF SCHISTOSOMIASIS JAPONICA BY NEEDLE BIOPSY OF THE LIVER (FRESH LIVER SLIDE METHOD)
- INTRA-AORTIC INJECTION THERAPY FOR HEPATIC AND CHOLECYSTIC DISEASES.
- A NEW DIAGNOSIS OF SCHISTOSOMIASIS JAPONICA BY NEEDLE BIOPSY OF THE LIVER