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
Article
in English
| LILACS
| ID: lil-224908
Responsible library:
BR1.1
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.
Full text:
Available
Collection:
International databases
Health context:
Neglected Diseases
Health problem:
Diarrhea
/
Helminthiasis
/
Neglected Diseases
/
Schistosomiasis
/
Zoonoses
Database:
LILACS
Main subject:
Schistosomiasis mansoni
/
Colonic Diseases
/
Intestinal Obstruction
/
Intestinal Perforation
Type of study:
Etiology study
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
São Paulo med. j
Journal subject:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicine
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Year:
1998
Document type:
Article