PMC5559659_01
Ultrasound of the abdomen showing (A) the irregular surface of the liver and hyperechoic thickened walls of the main portal vein (arrows), and (B) thickening of the portal vein branches and venules (arrows), giving a Symmer's pipe-stem pattern of periportal fibrosis.
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F1
Ultrasound of the abdomen revealed the irregular surface of the liver with splenomegaly and hyperechoic thickened walls of the main portal veins, its branches, and venules, giving a pipe-stem (Symmer's) pattern of periportal fibrosis, indicative of hepatic schistosomiasis (Figure 1).
Liver biopsy showing (A) mild portal fibrosis, dilated portal veins, plasma-rich portal triaditis, and mild hepatocellular cholestasis, and (B) increased reticulin in the absence of cirrhosis.
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F2
Transjugular liver biopsy showed mild portal fibrosis, dilated portal veins, plasma-rich portal triaditis, mild hepatocellular cholestasis, and increased reticulin in the absence of cirrhosis, features of autoimmune hepatitis, eggshells, granuloma, or viral inclusions (Figure 2).