病例:患者为男性,60岁,发现肝硬化近3年,因反复黑便、呕血5 d入院。患者于3年前因结肠癌术后复查行腹部CT检查,结果提示其存在脾脏肿大、肝硬化门静脉(门脉)高压。当时患者行病毒性肝炎、自身抗体等相关检查均为阴性,否认饮酒史,考虑患者既往有血吸虫病史,故诊断为血吸虫性肝硬化。1年后患者行胃镜检查发现重度食管静脉曲 Case: The patient was male, 60 years old and found cirrhosis nearly 3 years, due to repeated melena, hematemesis 5 d admission. Patients were retrospectively reviewed postoperatively for colon cancer 3 years ago. The results showed that there was splenomegaly and cirrhosis of the portal vein (portal vein). At that time, patients with viral hepatitis, autoantibodies and other related tests were negative, denied drinking history, consider the history of patients with previous schistosomiasis, so the diagnosis of schistosomiasis cirrhosis. One year later, the patient underwent endoscopy and found severe esophageal varices