PMC8065271_01
Abdominal CT scan and rectosigmoid biopsy specimen images. A. Maximum intensity projection coronal plane: the image shows ascites, floating intestinal loops and peritoneal thickening. B. Sagittal plane: the image shows ascites, peritoneal thickening (white arrow) and bladder wall calcification (red arrow). C. Axial plane: the image shows ascites, floating intestinal loops and intestinal wall calcifications (white arrows). D. Axial plane images pre- and post-intravenous contrast media infusion, showing the thickening and the enhancement of peritoneum. E. Axial plane images showing the cocooning of the intestinal loops (red arrow), the bladder wall calcifications (blue arrow) and the intestinal wall calcifications (white arrow) without the administration of oral contrast media. F. Partially calcified as S. haematobium ova with terminal spine (magnification100x and 400x) (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article).
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Abdominal computed tomography (CT) scan revealed bowel wall thickening, dilatation of the entire gastrointestinal (GI) tract and symmetric peritoneal thickening consistent with encapsulating peritoneal sclerosis (EPS) (Fig. 1 A-E). No parasites were found in stool microscopy, but sigmoid mucosa crush biopsy revealed Schistosoma haematobium ova (Fig. 1 F), while upper GI biopsies demonstrated necrotic esophagitis and mild duodenitis.