Incidental pseudolymphomatous bladder inflammatory polyp revealing urinary schistosomiasis

Dessyn, Jean-François; Duquenne, S; Hoarau, Gautier

doi:10.1016/j.ijid.2016.10.022

Cited by 3 publications

(5 citation statements)

References 5 publications

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“…Eggs of S. haematobium have characteristic “terminal spines”, as has been demonstrated in our clinical case where a granulomatous inflammatory reaction has been observed around bilharzia eggs [8, 9]. The most important long-term complication of urinary schistosomiasis is the predisposition to bladder cancer [2].…”

Section: Discussionmentioning

confidence: 61%

Urinary schistosomiasis: report of case diagnosed in bladder biopsy

et al. 2018

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BackgroundUrinary schistosomiasis is a common parasitic disease in endemic countries.Case presentationWe report the case of a patient who was on a working trip to Mauritania. This parasitosis, suspected in the presence of hematuria and the notion of stay in an endemic zone, was confirmed by the presence of Schistosoma heamatobium eggs during the histological examination of the bladder biopsy performed after cystoscopy, highlighting a bilharzial granuloma and of course, the diagnosis was confirmed by the presence of eggs during the direct examination of the freshly collected urine.ConclusionsIt should be pointed out that the diagnosis of schistosomiasis must be evoked with the association of hematuria and the particular inflammatory aspect of the vesical mucosa and, of course, the notion of stay in an endemic zone.

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Section: Discussionmentioning

confidence: 61%

Urinary schistosomiasis: report of case diagnosed in bladder biopsy

et al. 2018

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“…Serology is used erratically in the diagnosis of patients with cUGS-related manifestations. In several reports [ n = 7], patients underwent invasive procedures and were also found to have a positive serology for S. haematobium [ 85 , 91 , 92 , 105 , 137 , 139 , 149 ]. On the contrary, in several reports [ n = 11], eggs were not present in the urine of patients with chronic schistosomiasis [ 92 , 98 , 100 , 102 , 103 , 106 , 126 , 134 , 137 , 139 , 140 ].…”

Section: Discussionmentioning

confidence: 99%

“…Most cases (19 of 24, 70%) were examined after urogenital manifestations seen clinically or by US ( n = 9 granulomatous lesions observed at US examination, n = 5 polyps observed at US, n = 4 masses observed at US, n = 1 persistent haematuria). Serology was performed only in two patients and was positive in both [ 91 , 92 ]. Urine filtration and eggs search was performed in 15 patients and was positive in nine (60%) [ 92 – 106 ].…”

Section: Diagnosismentioning

confidence: 99%

Diagnosis and management of complicated urogenital schistosomiasis: a systematic review of the literature

et al. 2023

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Background Currently, there are no standardized guidelines for the diagnosis or management of the complications of urogenital schistosomiasis (UGS). This systematic review of the literature aims to investigate the state of the art in reference to diagnostic approaches and the clinical management of this condition. Methods A systematic review of literature published between January 1990 and January 2021 was conducted in the MEDLINE database, scoping for articles regarding diagnostic means or therapeutic options for the complications of UGS, namely obstructive uropathy, bladder cancer, abortion, ectopic pregnancy, infertility, kidney failure, urolithiasis and the need for invasive procedures. Relevant data were then extracted from the articles deemed eligible according to the inclusion criteria. Main results In total, 3052 articles were identified by the research query, of which 167 articles fulfilling inclusion criteria after title/abstract screening and full-text evaluation were included, 35% on both diagnostic and therapeutic aspects, and 51% on diagnosis and 14% on therapy. Ultrasound was the most frequently tool employed for the diagnosis of UGS complications showing a good performance. Concerning the management of hydronephrosis, the majority of available evidences came from community-based studies where universal treatment with praziquantel was used leading to decrease of prevalence of obstructive uropathy. Concerning studies on surgical procedures, laser endoureterotomy followed by stenting was mostly employed in adult patients leading to a crude cure rate of 60% (43 of 71 patients). In the case of severe hydronephrosis, surgery consisting of ureteral re-implantation showed excellent results with a crude cure rate of 98% (157 cured patients of 160 treated). Concerning bladder cancer, data on 93 patients with a clear diagnosis of UGS-related bladder were available reporting a variable and sometime combined approach based on disease stage. Available data on diagnosis and management of abortion, ectopic pregnancy, infertility, kidney failure, urolithiasis and the need for invasive procedures due to UGS are also presented. Conclusions The review produced a complete picture of the diagnostic and therapeutic options currently available for complicated UGS. These results can be useful both for guiding clinicians towards correct management and for tracing the direction of future research.

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“…Urinary bladder polyps due to S. Haematobium have long been described and development of polyps correlates with heaviness of the infection in endemic areas[ 23 ]. Urinary bladder S. polyps were also reported among visitors to endemic areas[ 24 ]. Urinary S. polyps are not limited to urinary bladder, they were described within the ureters with a prevalence of 5.9% (30/511) in a large Egyptian study[ 25 ].…”

Section: S Polyps Beyond the Colonmentioning

confidence: 99%

“…Resection of S. polyps combined with medical treatment using PZQ was successful [ 3 , 9 , 13 , 16 , 22 , 48 ]. Endoscopic resection of urinary S. polyps is less frequently performed in comparison to bowel and was associated with acceptable success rates[ 24 ].…”

Section: Treatmentmentioning

confidence: 99%

Schistosomal (bilharzial) polyps: Travel through the colon and beyond

Emara,

Mahros,

Rasheda

et al. 2023

World J Gastroenterol

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Coronavirus disease 2019 (COVID-19) has several extrapulmonary symptoms. Gastrointestinal (GI) symptoms are among the most frequent clinical manifestations of COVID-19, with severe consequences reported in elderly patients. Furthermore, the impact of COVID-19 on patients with pre-existing digestive diseases still needs to be fully elucidated, particularly in the older population. This review aimed to investigate the impact of COVID-19 on the GI tract, liver, and pancreas in individuals with and without previous digestive diseases, with a particular focus on the elderly, highlighting the distinctive characteristics observed in this population. Finally, the effectiveness and adverse events of the anti-COVID-19 vaccination in patients with digestive disorders and the peculiarities found in the elderly are discussed.

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Incidental pseudolymphomatous bladder inflammatory polyp revealing urinary schistosomiasis

Cited by 3 publications

References 5 publications

Urinary schistosomiasis: report of case diagnosed in bladder biopsy

Urinary schistosomiasis: report of case diagnosed in bladder biopsy

Diagnosis and management of complicated urogenital schistosomiasis: a systematic review of the literature

Schistosomal (bilharzial) polyps: Travel through the colon and beyond

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