Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection

São Paulo Medical Journal

Fernando Antibas Atik¹  Nacime Salomão Mansur¹  Marcelo de Moura Linhares¹  Gaspar de Jesus Lopes Filho¹  João Seda Neto¹ 

[1] Universidade Federal de São Paulo;

关键词: Schistosomiasis;    Colon obstruction;    Large intestine;   

DOI  :  10.1590/S1516-31801998000400008

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown