Rectosigmoid bilharzioma causing intestinal obstruction

Elmasalme, Farhan N; Raheem, M.A; Badawy, Ahel; Zuberi, S.R; Matbouli, S.A

doi:10.1016/s0022-3468(97)90725-9

Cited by 12 publications

(8 citation statements)

References 7 publications

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“…Previously, cases involving intestinal obstructions caused by S. mansoni have been reported and most of them were related to granulomatous formation and extensive pericolonic infiltrations of inflammatory cells (Iyer et al, 1985;Elmasalme et al, 1997;Atik et al, 1998; 2 1 Moura et al, 2006). Elmasalme et al (1997) reported a case of sigmoid obstruction caused by a huge schistosomotic granuloma that was confused with neoplasm.…”

Section: Discussionmentioning

confidence: 99%

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Intestinal schistosomiasis associated with intussusception: a case report

Mazigo

Chandika

Zinga

et al. 2011

Tanzania J Hlth Res

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We report a case of intestinal schistosomiasis associated with iliocaecal intussusception resulting from obstructions of the terminal part of the ileum by schistosome egg-induced fibrosis. A 7-year-old boy presented with the history of abdominal pain and difficulties in passing stool for two months. Ultrasound examination revealed doughnut signs characterized with multiple concentric rings at the lateral abdomen, and the bowel loop appeared distended. Exploratory laparatomy confirmed intussusception of the terminal part of the ileum into the caecum, extending to the ascending colon. Hemicolectomy and end-to-end iliocolostomy was performed. Histological examination of the resected bowel revealed Schistosoma mansoni eggs within the mucosa, submucosa of the ileum, caecum and ascending colon, granulomatous inflammation with foreign body giant cells accompanied by fibrosis and eosinophilic infiltrate into the mucosa. Postoperatively, the patient recovered well. There may have been a synergistic effect of schistosomiasis with other underlying conditions, leading to intussusception. In conclusion, it is important to consider S. mansoni infection as a differential diagnosis for intestinal obstruction in endemic areas. ________________________________________________________________________________________

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Section: Discussionmentioning

confidence: 99%

“…Elmasalme et al (1997) reported a case of sigmoid obstruction caused by a huge schistosomotic granuloma that was confused with neoplasm. The aetiology was finally established by histopathological examination.…”

Section: Discussionmentioning

confidence: 99%

Intestinal schistosomiasis associated with intussusception: a case report

Mazigo

Chandika

Zinga

et al. 2011

Tanzania J Hlth Res

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“…A case of a Filipino woman with upper genital schistosomiasis mimicking an ovarian tumor has been previously reported by Al-Waheeb et al (2009). Although bilharzioma has been previously reported in several sites such as the kidneys (n = 2) (Amhajji et al, 2003;Diallo et al, 2011), ureters (n = 1) (Fischel, 1973), urinary bladder (n = 15) (Pieron et al, 1983;Fievet et al, 1985), epididymis (n = 1) (Fievet et al, 1985), verumontanum causing azoospermia (n = 1) (Fourcade et al, 1977), lung (n = 3) (Thompson et al, 1979;Besson et al, 1982;Rakotovao et al, 2005), small intestine (n = 1) (Ali et al, 2003), rectosigmoid (n = 3) (Elmasalme et al, 1997;Digray, 1998;Vaid et al, 2011), gall bladder (n = 1) (Ibrahim et al, 1977), and the epidural space (n = 2) (Ruberti and Saio, 1999;Maia et al, 2007), no cases of mesenteric bilharzioma have been reported.…”

Section: Discussionmentioning

confidence: 99%

Female genital schistosomiasis is a neglected cause of reproductive ill-health

Ashoush¹,

Farid²,

Helal³

2011

Egyptian Journal of Pathology

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“…The great majority of colitis caused by mansoni schistosomiasis is asymptomatic or oligosymptomatic, with the diagnosis being carried out by stool tests or rectal valve biopsy, with 80% to 90% accuracy. Surgical treatment has a limited role, with only a few cases described of intestinal obstruction, [6][7][8][9] acute appendicitis, intestinal polyposis, 10 pseudotumor 3 and intestinal perforation. 11,12 The cases reported as intestinal polyposis, pseudotumor and intestinal obstruction were usually misdiagnosed as colorectal neoplasias, especially in older patients.…”

Section: Discussionmentioning

confidence: 99%

Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection

et al. 1998

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The authors report a case of a 25 year old Brazilian man with a history of crampy abdominal pain in the left iliac fossa for 2 weeks, abdominal distention, mucous diarrhea and anorexia. The patient presented signs of hemodynamic instability and a hard mass palpated in the left iliac fossa presented peritoneal irritation. At laparotomy, fecal peritonitis and a punched-out perforation of the midsigmoid colon were found. A left hemicolectomy was performed with terminal colostomy. Specimen examination revealed a thickened rectosigmoid wall, narrow lumen and multiple mucosal polyps. Microscopically, chronic granulomatous colitis with Schistosoma mansoni eggs confirmed the etiology. To the authors' knowledge, this is the first case of obstruction complicated with perforation due to mansoni schistosomiasis reported in the literature.

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Rectosigmoid bilharzioma causing intestinal obstruction

Cited by 12 publications

References 7 publications

Intestinal schistosomiasis associated with intussusception: a case report

Intestinal schistosomiasis associated with intussusception: a case report

Female genital schistosomiasis is a neglected cause of reproductive ill-health

Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection

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