Sonographic early findings in a case of bladder schistosomiasis

Ferrara, Dolores; Esposito, Francesco; Serafino, Marco Di; Gullotto, Chiara; Baglioni, Angelo; Martinelli, Leonardo; Zeccolini, Massimo

doi:10.1007/s40477-018-0307-4

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…Oral praziquantel is the drug of choice for schistosomiasis and is responsible for eradicating adult worms, but it doesn’t affect the compliance of the bladder. [ 20 ]…”

Section: Discussionmentioning

confidence: 99%

Small contracted bladders posing bigger problems

Panwar

Tosh

Mittal

et al. 2022

Journal of Family Medicine and Primary Care

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The purpose of this study was to assess various etiologies, diagnosis and management. This rare entity is a neglected condition which should always be under clinical suspicion by broad speciality of practitioners for early treatment. Retrospective data collected from 2018 to 2021 in the All India Institute of Medical Sciences Rishikesh was used. All patients diagnosed with the small contracted bladder in the given period were included. The primary outcome of the study was to find out the common causes, early tests used for diagnosis and management done in the patients of small contracted bladder attending this tertiary care centre. Between 2018 and 2021, a total of 12 patients were diagnosed to have small capacity bladder (SCB). The most common symptom was frequency (75%). On cystoscopy, 33.33% (n = 4) had less than 50 ml and 66.66% (n = 8) had 50-100 ml bladder capacity respectively. 37.5% (n = 3) were diagnosed by urine AFB culture, 62.5% (n = 5) were diagnosed by urine for PCR, 62.5% (n = 5) were diagnosed by radiological investigations. Eight patients (66.66%) underwent surgical treatment in cases diagnosed as tuberculosis like augmentation cystoplasty and supra-trigonal cystectomy. Other rare causes found were eosinophilic cystitis, radiation induced contracture and BCG induced contracture. Small capacity bladder is an unusual condition, with still dilemma on the definition of small capacity and only few literature mentioning the causes, diagnosis and treatment. Even though tuberculosis is a common cause of SCB, still rare causes should always be kept in mind for relieving patient symptoms at the earliest.

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“…Oral praziquantel is the drug of choice for schistosomiasis and is responsible for eradicating adult worms, but it doesn’t affect the compliance of the bladder. [ 20 ]…”

Section: Discussionmentioning

confidence: 99%

Small contracted bladders posing bigger problems

Panwar

Tosh

Mittal

et al. 2022

Journal of Family Medicine and Primary Care

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“…Ultrasonography is vital in assessing cases of urinary schistosomiasis in detecting the disease and the severity, this demonstrates varying degree of bladder and ureteric and renal affectation of schistosomiasis most commonly wall thickening with hydroureteronephrosis [15][16][17][18]. The patient had ultrasonography, this demonstrated a bladder that appear contracted with circumferential wall thickening more in the base, mucosal thickening and protrusion in to the lumen, presence of irregular echogenic crust in the base with associated suspended mobile echoes in urine.…”

Section: Discussionmentioning

confidence: 99%

Urinary Schistosomiasis in an Elderly Patient: The Ultrasonographic Findings and Case Report

Mb¹

2021

JCRR

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Urinary schistosomiasis (US) causes chronic ill health and caused by the blood fluke Schistosoma haematobium. This disease is endemic in Africa and eastern Mediterranean countries, and has a predilection for the male gender. This is a 64-year-old farmer (swampy farming and fishing) for more than forty years, that was referred from a peripheral health care centre for abdominal and pelvic ultrasonography on account of abdominal pain and discomfort, bilateral loin pain, dysuria, and terminal hematuria for close to a year duration of onset. The ultrasonography demonstrated bladder wall thickening, mucosal thickening and polypoid proliferation in to the bladder lumen, irregular echogenic crust in the bladder base, suspended mobile echoes in urine most likely from hematoma and/or cystitis, there is associated mild-moderate biliterate dilatation of the pelvi-calyceal systems and ureters(hydroureteronephrosis). The remaining abdominal and pelvic organs appeared normal. Urinary parasitology demonstrated the ova of Schistosoma haematobium confirming the diagnosis of urinary schistosomiasis. We report the ultrasonographic features of urinary schistosomiasis because of its peculiar presentation and to emphasize importance of ultrasound in its assessment.

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“…Following that, the paired adult Schistosoma haematobium worms migrate to the pelvic venous plexus where they reside and clear their eggs into the host’s urinary bladder [1,3]. These eggs may result in a granulomatous immune response and chronic inflammation, which can lead to bladder wall ulcers, polyps, calcifications, or fibrosis [4,6,7]. As such, the presenting symptoms of urogenital schistosomiasis can be dysuric and/or hematuric in nature [3].…”

Section: Discussionmentioning

confidence: 99%

“…Radiologically, a bladder ultrasound reveals homogenous and wave-like bladder wall thickening in the acute phase [6,7]. In addition, hypervascular polyp-like lesions may be noted.…”

Section: Discussionmentioning

confidence: 99%

Seldom Differential of Dysuria in Northern America

Degheili

El-Asmar

Moussally

et al. 2019

Cureus

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Human schistosomiasis or bilharzia is a parasitic disease that highly impacts a country’s health and economic systems specifically when it affects individuals residing in underdeveloped countries. Daughter eggs produced by colonized Schistosoma can lead to multisystem immune-mediated response, one of them is an intravesicular granulomatous reaction leading to intramural lesions. Such outcome is directly related to the incubation of adult worms within the perivesical urogenital venous plexus. We hereby report an incidental discovery of calcified bladder wall lesions in a female patient residing in the United States for the last 27 years who presented with lower urinary tract symptoms. Despite a negative past medical history of schistosomiasis, intraoperative biopsies confirmed the presence of a calcified Schistosoma haematobium ova. Following that, a brief literature review of the pathogenesis and urogenital manifestations of Schistosoma is highlighted.

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Sonographic early findings in a case of bladder schistosomiasis

Cited by 5 publications

References 15 publications

Small contracted bladders posing bigger problems

Small contracted bladders posing bigger problems

Urinary Schistosomiasis in an Elderly Patient: The Ultrasonographic Findings and Case Report

Seldom Differential of Dysuria in Northern America

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