Abstract
Three cases of hepatic schistosomiasis japonica were encountered in Kaohsiung Medical College Hospital in the past year with pathological proof. In general, there was a diffuse network-like appearance of liver in abdominal sonography. The first case had had malignant tonsillar lymphoma about two years earlier, and was misdiagnosed as having diffuse liver metastasis by use of sonography. The second and third cases were then correctly diagnosed by ultrasound before liver biopsy was performed. All of these three cases had normal liver function by blood biochemical examination, and the first and Stool hatching tests and skin tests for schistosomiasis were all unremarkable. However, they all came from China mainland ─around the Yangtze River. It is suggested that if there is diffuse network-like appearance in the liver echo-pattern, hepatic schistosomiasis might be the first choice of diagnosis.
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