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Child abdominal tumour in tropical context: think about schistosomiasis!

A M Napon1, E Bandré, Z Nikiéma

  • 1Medical Imaging Unit, Charles de Gaulle Teaching Pediatric Hospital Center, 01 BP 1198, Ouagadougou 01, Burkina Faso.

African Journal of Paediatric Surgery : AJPS
|May 21, 2014
PubMed

Insights

Abdominal schistosomiasis is a rare cause of childhood abdominal mass. This case highlights the importance of considering schistosomiasis in differential diagnoses for pediatric abdominal masses in tropical regions.

Area of Science:

  • Pediatric Surgery
  • Tropical Medicine
  • Parasitology

Background:

  • Schistosomiasis is a parasitic disease endemic in tropical areas.
  • Abdominal masses in children are common, but schistosomiasis is an uncommon cause.

Observation:

  • A child presented with an abdominal mass and chronic pain.
  • Abdominal ultrasonography was inconclusive for a definitive pre-operative diagnosis.

Findings:

  • Pathological examination of the surgical specimen confirmed Schistosoma mansoni eggs.
  • Medical treatment with Biltricide led to a decrease in the mass volume.

Implications:

  • Clinicians should consider abdominal schistosomiasis in the differential diagnosis of childhood abdominal masses.
  • A high index of suspicion is crucial for early diagnosis and treatment in endemic areas.

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