ABSTRACT
BACKGROUND Although reports of bilharizial colonic polyps are very rare in the literature, we report a case of a large rectal polyp as a manifestation of chronic intestinal bilharzia. A high index of suspicion in an endemic area is the key factor to avoid unnecessary medical interventions. CASE REPORT We report a case of a 24-year-old male patient who was married, born in Taiz North Yemen, and worked as a military soldier. He presented to our clinic with a complaint concerning intermittent lower abdominal pain and several months of rectal bleeding. A colonoscopy was performed at the Endoscopy Unit of King Khalid Hospital, Najran, Saudi Arabia on September 23, 2019 and results showed 2 large rectal polyps, (measuring 4×3 and 2×3 cm), located 10 cm from the anal verge, having wide bases and irregular surfaces that mimicked dysplastic polyps. Both polyps became elevated after a normal saline/methylene blue injection. An endoscopic mucosal resection was successfully performed with no immediate complications. The histopathology showed benign polyps due to Schistosoma-induced colonic infection. CONCLUSIONS It is very difficult and challenging to differentiate Schistosoma-induced colonic polyps from other colonic polyps even with an endoscopic evaluation; thus, a high index of clinical suspicion is required mainly in an endemic area, which may prevent the physician from ordering unnecessary interventions and thus avoid severe complications.
Subject(s)
Colonic Polyps , Rectal Neoplasms , Schistosomiasis , Adult , Colonic Polyps/diagnosis , Colonoscopy , Humans , Male , Saudi Arabia , Young AdultSubject(s)
Bariatric Surgery/adverse effects , Esophageal Diseases/epidemiology , Lung Diseases/epidemiology , Obesity/surgery , Adult , Bariatric Surgery/mortality , Early Diagnosis , Esophageal Diseases/diagnosis , Esophageal Diseases/mortality , Esophageal Diseases/therapy , Female , Humans , Lung Diseases/diagnosis , Lung Diseases/mortality , Lung Diseases/therapy , Male , Middle Aged , Obesity/mortality , Prevalence , Risk Assessment , Risk Factors , Treatment Outcome , Young AdultABSTRACT
Peritoneal carcinomatosis (PC) is a common evolution of abdominal cancers. It may arise from the peritoneum itself (primary) or originate from another type of cancer especially those of gastrointestinal or gynecological origin (secondary). Without aggressive multimodal therapeutic approaches, PC is associated with a poor prognosis. Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) have been used to treat PC since 1990. In Saudi Arabia, the first CRS and HIPEC were done in 2008. In 2018, Saudi Arabia population is 32 millions of people and the demand for such procedures has grown up. This article gives outlines of the current status of peritoneal surface oncology in Saudi Arabia and the future perspective.
