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Intestinal schistosomiasis associated with intussusception: a case report.
Humphrey D Mazigo1, Alphonce B Chandika, Maria Zinga
1Weill-Bugando University College of Health Sciences, Mwanza, Tanzania. humphreymazigo@bugando.ac.tz
Tanzania Journal of Health Research
|January 9, 2015
Summary
Intestinal schistosomiasis caused by Schistosoma mansoni eggs can lead to ileocecal intussusception due to fibrosis. This case highlights the importance of considering schistosomiasis in intestinal obstruction diagnoses in endemic regions.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Parasitology
Background:
- Schistosomiasis is a parasitic disease prevalent in endemic areas.
- Intestinal obstruction is a common surgical emergency.
- Ileocecal intussusception is a rare cause of intestinal obstruction in adults.
Observation:
- A 7-year-old boy presented with chronic abdominal pain and constipation.
- Ultrasound revealed characteristic 'doughnut signs' of intussusception.
- Exploratory laparotomy confirmed ileocecal intussusception.
Findings:
- Histological examination of resected bowel revealed Schistosoma mansoni eggs.
- Egg-induced fibrosis in the terminal ileum caused obstruction.
- Granulomatous inflammation, fibrosis, and eosinophilic infiltrate were observed.
Implications:
- Schistosomiasis should be considered in the differential diagnosis of intestinal obstruction in endemic areas.
- Parasitic infections can lead to rare surgical complications like intussusception.
- Early diagnosis and treatment of schistosomiasis may prevent such complications.
