Ultrasound diagnosis of oesophagostomiasis

P. A. Storey, S. Anemana, J. A. Van Oostayen, A. M. Polderman*, P. Magnussen

*Corresponding author for this work
21 Citations (Scopus)

Abstract

Human infection with Oesophagostomum bifurcum, a parasitic intestinal helminth, is endemic in parts of West Africa. Oesophagostomum bifurcum juveniles develop in the colonic wall, causing pus-filled granulomas. The pathology has two distinct forms. Multinodular oesophagostomiasis comprises hundreds of small nodules within a thickened, oedematous wall of the large intestine. Uninodular oesophagostomiasis, called the Dapaong tumour, presents as a painful 30-60 mm granulomatous mass in the abdominal wall or within the abdominal cavity. Diagnosis of oesophagostomiasis on clinical grounds alone is difficult. We describe cases illustrating the ultrasound appearance of these two presentations. Multinodular disease shows nodular 'target' and 'pseudokidney' colonic lesions. The Dapaong tumour is an echo-free ovoid lumen enveloped within a well defined poorly reflective wall.

Original languageEnglish
JournalBritish Journal of Radiology
Volume73
Issue number867
Pages (from-to)328-332
Number of pages5
ISSN0007-1285
DOIs
Publication statusPublished - 1 Jan 2000

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