Urinary Bladder Schistosomiasis Mimicking Neoplasm: A Case Report

Schistosomiasis is a neglected disease that is prevalent in tropical and subtropical areas. A 20-year-old woman presented to the emergency room with a history of right flank pain and lower abdominal discomfort for one day, which coincided with the onset of menses. The patient did not provide any his...

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Main Author: Majid Darraj
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/8/1001
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author Majid Darraj
author_facet Majid Darraj
author_sort Majid Darraj
collection DOAJ
description Schistosomiasis is a neglected disease that is prevalent in tropical and subtropical areas. A 20-year-old woman presented to the emergency room with a history of right flank pain and lower abdominal discomfort for one day, which coincided with the onset of menses. The patient did not provide any history of premenstrual hematuria. The physical examination revealed right costovertebral angle tenderness and was otherwise unremarkable. The urinalysis demonstrated a mild increase in red and white blood cells and no ova or parasite. The blood test was normal, except for eosinophilia. A right pedunculated intraluminal urinary bladder mass was detected by the computerized axial tomographic scan and ultrasonography, and after the transurethral resection of the mass, the patient was diagnosed with urinary schistosomiasis. The patient received two doses of oral praziquantel of 1200 mg every 12 h for one day. The cure was confirmed with a one-month post-treatment follow-up that revealed a normal urine microscope and eosinophil count. The <i>S. haematobium</i> infection should be evaluated as a possible cause of urinary bladder lesion in those who have travelled or lived in endemic areas.
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spelling doaj.art-d7055a9c0686463989e342d9aa8975612023-11-30T21:56:01ZengMDPI AGMedicina1010-660X1648-91442022-07-01588100110.3390/medicina58081001Urinary Bladder Schistosomiasis Mimicking Neoplasm: A Case ReportMajid Darraj0Department of Medicine, College of Medicine, Jazan University, Jazan 45142, Saudi ArabiaSchistosomiasis is a neglected disease that is prevalent in tropical and subtropical areas. A 20-year-old woman presented to the emergency room with a history of right flank pain and lower abdominal discomfort for one day, which coincided with the onset of menses. The patient did not provide any history of premenstrual hematuria. The physical examination revealed right costovertebral angle tenderness and was otherwise unremarkable. The urinalysis demonstrated a mild increase in red and white blood cells and no ova or parasite. The blood test was normal, except for eosinophilia. A right pedunculated intraluminal urinary bladder mass was detected by the computerized axial tomographic scan and ultrasonography, and after the transurethral resection of the mass, the patient was diagnosed with urinary schistosomiasis. The patient received two doses of oral praziquantel of 1200 mg every 12 h for one day. The cure was confirmed with a one-month post-treatment follow-up that revealed a normal urine microscope and eosinophil count. The <i>S. haematobium</i> infection should be evaluated as a possible cause of urinary bladder lesion in those who have travelled or lived in endemic areas.https://www.mdpi.com/1648-9144/58/8/1001schistosomiasisurinary bladderneoplasmpraziquantel
spellingShingle Majid Darraj
Urinary Bladder Schistosomiasis Mimicking Neoplasm: A Case Report
Medicina
schistosomiasis
urinary bladder
neoplasm
praziquantel
title Urinary Bladder Schistosomiasis Mimicking Neoplasm: A Case Report
title_full Urinary Bladder Schistosomiasis Mimicking Neoplasm: A Case Report
title_fullStr Urinary Bladder Schistosomiasis Mimicking Neoplasm: A Case Report
title_full_unstemmed Urinary Bladder Schistosomiasis Mimicking Neoplasm: A Case Report
title_short Urinary Bladder Schistosomiasis Mimicking Neoplasm: A Case Report
title_sort urinary bladder schistosomiasis mimicking neoplasm a case report
topic schistosomiasis
urinary bladder
neoplasm
praziquantel
url https://www.mdpi.com/1648-9144/58/8/1001
work_keys_str_mv AT majiddarraj urinarybladderschistosomiasismimickingneoplasmacasereport