Evidence map›Paper›PMID 42437159›Full record

ArticleRadiology case reports2026

Eggshell calcification of the urinary bladder in chronic

Juliana Andrade, Joana Sobreiro Silva

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Juliana AndradeInternal Medicine Department, Unidade Local de Saúde de Braga, Braga, Portugal.
Joana Sobreiro SilvaAnatomic Pathology, Unidade Local de Saúde de Braga, Braga, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic urinary schistosomiasis is an important cause of hematuria and genitourinary morbidity in individuals from endemic regions. In advanced disease, computed tomography (CT) may show circumferential calcification of the bladder and distal ureters, a classic pattern that can suggest the diagnosis even when laboratory tests are negative. A 38-year-old man from Mozambique, living in Portugal with human immunodeficiency virus and hepatitis B virus infections, presented with 2 months of painless gross hematuria. He denied dysuria, fever, flank pain, weight loss, prior urinary tract instrumentation, tuberculosis, or recent travel, and baseline blood tests and renal function were normal. Urinalysis showed hematuria and leukocyturia, but multiple urine examinations for Schistosoma ova and a urine Schistosoma-specific polymerase chain reaction were negative. Noncontrast CT of the abdomen and pelvis was obtained and demonstrated diffuse circumferential calcification of the urinary bladder wall with distal ureteral involvement, producing a classic "eggshell" appearance without hydronephrosis, renal stones, or intraluminal mass. Cystoscopy showed yellowish plaques and nodular mucosal lesions, and targeted bladder biopsies revealed numerous calcified Schistosoma haematobium ova within the urothelium and submucosa with chronic inflammation and stromal calcification, confirming chronic inactive infection. The patient received a single dose of praziquantel 40 mg/kg and 3 months later, hematuria had resolved and renal function was stable. This case highlights that in chronic urinary schistosomiasis, CT findings can be decisive when urine-based tests are negative.

Indexed as

Case reportComputed tomographyEggshell bladderHematuriaSchistosoma haematobiumUrinary schistosomiasis

Identifiers

PMID42437159
PMCPMC13355475

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