Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection
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...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801998000400008&lng=en&tlng=en |
| _version_ | 1818392399973449728 |
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| author | Fernando Antibas Atik Gaspar de Jesus Lopes Filho Marcelo de Moura Linhares João Seda Neto Nacime Salomão Mansur |
| author_facet | Fernando Antibas Atik Gaspar de Jesus Lopes Filho Marcelo de Moura Linhares João Seda Neto Nacime Salomão Mansur |
| author_sort | Fernando Antibas Atik |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-14T05:28:48Z |
| format | Article |
| id | doaj.art-ba6749ca63804c1784a531ade6cbd26c |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-14T05:28:48Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-ba6749ca63804c1784a531ade6cbd26c2022-12-21T23:15:26ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-946011641781178310.1590/S1516-31801998000400008S1516-31801998000400008Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infectionFernando Antibas Atik0Gaspar de Jesus Lopes Filho1Marcelo de Moura Linhares2João Seda Neto3Nacime Salomão Mansur4Universidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloThe 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801998000400008&lng=en&tlng=enSchistosomiasisColon obstructionLarge intestine |
| spellingShingle | Fernando Antibas Atik Gaspar de Jesus Lopes Filho Marcelo de Moura Linhares João Seda Neto Nacime Salomão Mansur Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection São Paulo Medical Journal Schistosomiasis Colon obstruction Large intestine |
| title | Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection |
| title_full | Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection |
| title_fullStr | Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection |
| title_full_unstemmed | Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection |
| title_short | Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection |
| title_sort | large intestine obstruction complicated with perforation a rare manifestation of schistosoma mansoni infection |
| topic | Schistosomiasis Colon obstruction Large intestine |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801998000400008&lng=en&tlng=en |
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