Liver schistosomiasis in Kuwait. Clinical presentations and pathological findings

This is a study on hepatic schistosomiasis including twenty eight cases, diagnosed over nine years period in a district general hospital in Kuwait. The clinical and histological picture in relation to the type of parasite is reviewed and the role played by S. haematobium species in the pathogenesis of liver disease affecting the immigrants in Kuwait is pointed out. The significance of the incidental finding of the schistosomal eggs in the liver and of the associated HBV infection is discussed. The topographic relation of schistosomal eggs and the surrounding granuloma to the fibrosis is described and these findings are related to the morphogenesis of this lesion.