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[Granulomatous colitis with pseudopolyp in schistosomiasis]
Deutsche Medizinische Wochenschrift (1946)
|January 6, 1989
Summary
Schistosoma mansoni eggs were found in a patient with intestinal inflammation and a rectosigmoid polyp. This discovery highlights bilharziasis as a crucial consideration in diagnosing chronic intestinal diseases.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Parasitology
Background:
- Chronic inflammatory bowel conditions can present with diverse etiologies.
- Intestinal schistosomiasis (bilharziasis) is a parasitic infection caused by Schistosoma mansoni.
Observation:
- A 26-year-old patient presented with epigastric pain and bloody, mucous stools.
- Colonoscopy revealed distal proctitis and a rectosigmoid polyp.
Findings:
- The rectosigmoid polyp exhibited granulomatous inflammatory changes.
- Microscopic examination of the polyp identified Schistosoma mansoni eggs, characterized by their distinct shell, miracidium, and lateral spine.
Implications:
- This case underscores the importance of considering intestinal schistosomiasis in the differential diagnosis of unexplained chronic inflammatory bowel disease.
- Parasitic infections like bilharziasis should be investigated in patients with compatible gastrointestinal symptoms, especially in endemic regions.