Umbilical portogram in a case of Schistosomiasis japonicum

The life cycle of shistosomes in their human host contributes to protean pathologic changes in many organs. One of these, pre-sinusoidal hepatic fibrosis in the case of S. Japonicum, was studied by an umbilical portogram during the work-up before haemofiltration. Intrahepatic portal block, with rapid tapering and marked tortuosity of portal branches as well as a very inhomogeneous and variable parenchymal pahse with poorly marginated underperfused areas and reversal of extrahepatic portal flow, was demonstrated.