Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection
São Paulo med. j
;
116(4): 1781-3, jul.-ago. 1998. ilus
Artigo
em Inglês
| LILACS
| ID: lil-224908
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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Esquistossomose mansoni
/
Doenças do Colo
/
Obstrução Intestinal
/
Perfuração Intestinal
Tipo de estudo:
Estudo de etiologia
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
São Paulo med. j
Assunto da revista:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicina
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Ano de publicação:
1998
Tipo de documento:
Artigo
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