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Related Experiment Videos

Ameboma presenting as acute urinary retention.

A Schattner1, B Naphtali, J Gindin

  • 1Department of Medicine C, Kaplan Hospital, Rehovot, Israel.

The American Journal of Gastroenterology
|April 1, 1989
PubMed
Summary

A patient experienced severe urinary issues due to amebic colitis. Treatment for amebic colitis resolved the urinary symptoms and mass, highlighting a rare presentation of this infection.

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Area of Science:

  • Gastroenterology
  • Urology
  • Infectious Diseases

Background:

  • Amebic colitis is typically characterized by gastrointestinal symptoms.
  • Urinary symptoms are an uncommon presentation of amebic colitis.

Observation:

  • A patient presented with severe urinary frequency, urgency, and acute urinary retention.
  • Imaging revealed a bladder mass compressing the rectosigmoid colon, causing ureter dilation.

Findings:

  • Biopsy showed inflammation, not malignancy.
  • Trophozoites of Entamoeba histolytica confirmed amebic colitis.
  • Treatment with metronidazole resolved urinary symptoms and the bladder mass.

Implications:

  • This case highlights the potential for amebic colitis to manifest with significant urinary symptoms due to an ameboma.

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  • Early diagnosis and treatment of amebic colitis are crucial, even with atypical presentations.