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Tanzania Journal of Health Research
Health User's Trust Fund (HRUTF)
ISSN: 1821-6404
Vol. 13, No. 2, 2011, pp. 1-5
Bioline Code: th11015
Full paper language: English
Document type: Case Report
Document available free of charge

Tanzania Journal of Health Research, Vol. 13, No. 2, 2011, pp. 1-5

 en Intestinal schistosomiasis associated with intussusception: a case report
MAZIGO, HUMPHREY D.; CHANDIKA, ALPHONCE B.; ZINGA, MARIA; HEUKELBACH, JORG & RAMBAU, PETER

Abstract

We report a case of intestinal schistosomiasis associated with iliocaecal intussusception resulting from obstructions of the terminal part of the ileum by schistosome egg-induced fibrosis. A 7- year-old boy presented with the history of abdominal pain and difficulties in passing stool for two months. Ultrasound examination revealed doughnut signs characterized with multiple concentric rings at the lateral abdomen, and the bowel loop appeared distended. Exploratory laparatomy confirmed intussusception of the terminal part of the ileum into the caecum, extending to the ascending colon. Hemicolectomy and end-to-end iliocolostomy was performed. Histological examination of the resected bowel revealed Schistosoma mansoni check for this species in other resources eggs within the mucosa, submucosa of the ileum, caecum and ascending colon, granulomatous inflammation with foreign body giant cells accompanied by fibrosis and eosinophilic infiltrate into the mucosa. Postoperatively, the patient recovered well. There may have been a synergistic effect of schistosomiasis with other underlying conditions, leading to intussusception. In conclusion, it is important to consider S. mansoni infection as a differential diagnosis for intestinal obstruction in endemic areas.

Keywords
Ileum; caecum; intussusception; Schistosoma mansoni; Tanzania

 
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