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

Author:

Atik Fernando Antibas1,Lopes Filho Gaspar de Jesus1,Linhares Marcelo de Moura1,Seda Neto João1,Mansur Nacime Salomão1

Affiliation:

1. Universidade Federal de São Paulo, Brazil

Abstract

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.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference15 articles.

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4. Polyps of the large intestine. Schistosomotic polyps: a correlation of 500 autopsies and 776 roentgenographic studies;Magalhães A;Rev Hosp Clin Fac Med S Paulo,1980

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