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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 2006 Aug;98(8):1365–1368.

Schistosomiasis--An unusual cause of abdominal pseudotumor.

Akintayo Oguntona Segun 1, Christopher Olutayo Alebiosu 1, A O J Agboola 1, A A F Banjo 1
PMCID: PMC2569563  PMID: 16916140

Abstract

Schistosomiasis is a common parasitic disease in the tropical and subtropical regions of Africa, Asia, South America and the Caribbean. It is the second most common parasitic infection of humans after malaria. Acute and chronic clinical presentations of S. monsoni are well described. Presentation as a pseudotumor is considered rare. We present a case of a 58-year-old Nigerian who presented with recurrent abdominal pain and abdominal mass of one-year duration. Stool was negative for schisostomal eggs, but histological specimen obtained from surgical resection of part of the caecum showed S. mansoni. The case was treated successfully by excisional biopsy and praziquantel therapy. A review of the literature is discussed.

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  1. Abdel-Hadi A. M., Talaat M. Histological assessment of tissue repair after treatment of human schistosomiasis. Acta Trop. 2000 Oct 23;77(1):91–96. doi: 10.1016/s0001-706x(00)00117-0. [DOI] [PubMed] [Google Scholar]
  2. Andrade Zilton A. Schistosomal hepatopathy. Mem Inst Oswaldo Cruz. 2004 Oct 13;99(5 Suppl 1):51–57. doi: 10.1590/s0074-02762004000900009. [DOI] [PubMed] [Google Scholar]
  3. Boisier P., Ramarokoto C. E., Ravoniarimbinina P., Rabarijaona L., Ravaoalimalala V. E. Geographic differences in hepatosplenic complications of schistosomiasis mansoni and explanatory factors of morbidity. Trop Med Int Health. 2001 Sep;6(9):699–706. doi: 10.1046/j.1365-3156.2001.00781.x. [DOI] [PubMed] [Google Scholar]
  4. Bongertz V. Vertical human immunodeficiency virus type 1--HIV-1--transmission--a review. Mem Inst Oswaldo Cruz. 2001 Jan;96(1):1–14. doi: 10.1590/s0074-02762001000100001. [DOI] [PubMed] [Google Scholar]
  5. Erko Berhanu, Medhin Girmay, Berhe Nega, Abebe Fekadu, Gebre-Michael Teshome, Gundersen S. G. Epidemiological studies on intestinal schistosomiasis in Wondo Genet, southern Ethiopia. Ethiop Med J. 2002 Jan;40(1):29–39. [PubMed] [Google Scholar]
  6. Filho Silvio Barberato, Gargioni Cybele, Silva Pinto Pedro Luiz, Chiodelli Silvia Gabriel, Gurgel Vellosa Sylvia Amaral, da Silva Rita Maria, da Silveira Maria Amélia Barata. Synthesis and evaluation of new oxamniquine derivatives. Int J Pharm. 2002 Feb 21;233(1-2):35–41. doi: 10.1016/s0378-5173(01)00917-6. [DOI] [PubMed] [Google Scholar]
  7. Goodburn E. A., Ross D. A. Young people's health in developing countries: a neglected problem and opportunity. Health Policy Plan. 2000 Jun;15(2):137–144. doi: 10.1093/heapol/15.2.137. [DOI] [PubMed] [Google Scholar]
  8. Hamilton J. V., Klinkert M., Doenhoff M. J. Diagnosis of schistosomiasis: antibody detection, with notes on parasitological and antigen detection methods. Parasitology. 1998;117 (Suppl):S41–S57. doi: 10.1017/s0031182099004205. [DOI] [PubMed] [Google Scholar]
  9. Keiser Jennifer, N'Goran Eliézer K., Traoré Mahamadou, Lohourignon Kouassi L., Singer Burton H., Lengeler Christian, Tanner Marcel, Utzinger Jürg. Polyparasitism with Schistosoma mansoni, geohelminths, and intestinal protozoa in rural Côte d'Ivoire. J Parasitol. 2002 Jun;88(3):461–466. doi: 10.1645/0022-3395(2002)088[0461:PWSMGA]2.0.CO;2. [DOI] [PubMed] [Google Scholar]
  10. Khurana S., Dubey M. L., Malla N. Association of parasitic infections and cancers. Indian J Med Microbiol. 2005 Apr;23(2):74–79. doi: 10.4103/0255-0857.16044. [DOI] [PubMed] [Google Scholar]
  11. Lambertucci J. R., Serufo J. C., Gerspacher-Lara R., Rayes A. A., Teixeira R., Nobre V., Antunes C. M. Schistosoma mansoni: assessment of morbidity before and after control. Acta Trop. 2000 Oct 23;77(1):101–109. doi: 10.1016/s0001-706x(00)00124-8. [DOI] [PubMed] [Google Scholar]
  12. Lansdown R., Ledward A., Hall A., Issae W., Yona E., Matulu J., Mweta M., Kihamia C., Nyandindi U., Bundy D. Schistosomiasis, helminth infection and health education in Tanzania: achieving behaviour change in primary schools. Health Educ Res. 2002 Aug;17(4):425–433. doi: 10.1093/her/17.4.425. [DOI] [PubMed] [Google Scholar]
  13. Leonardo Lydia R., Acosta Luz P., Olveda Remigio M., Aligui Gemiliano D. L. Difficulties and strategies in the control of schistosomiasis in the Philippines. Acta Trop. 2002 May;82(2):295–299. doi: 10.1016/s0001-706x(02)00022-0. [DOI] [PubMed] [Google Scholar]
  14. Mohamed A. R., al Karawi M., Yasawy M. I. Schistosomal colonic disease. Gut. 1990 Apr;31(4):439–442. doi: 10.1136/gut.31.4.439. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Ranque S., Dessein A. Schistosomose à Schistosoma mansoni. Rev Prat. 2001 Dec 1;51(19):2099–2103. [PubMed] [Google Scholar]
  16. Ripert C. Diagnostic et traitement. Presse Med. 2000 Sep 30;29(28):1583–1585. [PubMed] [Google Scholar]
  17. Ripert C. Diagnostic et traitement. Presse Med. 2000 Sep 30;29(28):1583–1585. [PubMed] [Google Scholar]
  18. Rizzo Manfredi, Mansueto Pasquale, Cabibi Daniela, Barresi Elisabetta, Berneis Kaspar, Affronti Mario, Di Lorenzo Gabriele, Vigneri Sergio, Rini Giovam Battista. A case of bowel schistosomiasis not adhering to endoscopic findings. World J Gastroenterol. 2005 Nov 28;11(44):7044–7047. doi: 10.3748/wjg.v11.i44.7044. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Schafer T. W., Hale B. R. Gastrointestinal complications of schistosomiasis. Curr Gastroenterol Rep. 2001 Aug;3(4):293–303. doi: 10.1007/s11894-001-0052-1. [DOI] [PubMed] [Google Scholar]
  20. Schafer T. W., Hale B. R. Gastrointestinal complications of schistosomiasis. Curr Gastroenterol Rep. 2001 Aug;3(4):293–303. doi: 10.1007/s11894-001-0052-1. [DOI] [PubMed] [Google Scholar]
  21. Silva L. M., Fernandes A. L., Barbosa A., Jr, Oliveira I. R., Andrade Z. A. Significance of schistosomal granuloma modulation. Mem Inst Oswaldo Cruz. 2000 May-Jun;95(3):353–361. doi: 10.1590/s0074-02762000000300010. [DOI] [PubMed] [Google Scholar]
  22. Stephenson I., Wiselka M. Drug treatment of tropical parasitic infections: recent achievements and developments. Drugs. 2000 Nov;60(5):985–995. doi: 10.2165/00003495-200060050-00002. [DOI] [PubMed] [Google Scholar]
  23. Sturrock R. F., Davis A. Efficacy of praziquantel against Schistosoma mansoni in northern Senegal. Trans R Soc Trop Med Hyg. 2002 Jan-Feb;96(1):105–106. doi: 10.1016/s0035-9203(02)90261-0. [DOI] [PubMed] [Google Scholar]
  24. Sulahian Annie, Garin Yves Jean François, Izri Arezki, Verret Caroline, Delaunay Pascal, van Gool Tom, Derouin Francis. Development and evaluation of a Western blot kit for diagnosis of schistosomiasis. Clin Diagn Lab Immunol. 2005 Apr;12(4):548–551. doi: 10.1128/CDLI.12.4.548-551.2005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Tosswill J. H., Ridley D. S. An evaluation of the ELISA for schistosomiasis in a hospital population. Trans R Soc Trop Med Hyg. 1986;80(3):435–438. doi: 10.1016/0035-9203(86)90334-2. [DOI] [PubMed] [Google Scholar]
  26. Tsang V. C., Wilkins P. P. Immunodiagnosis of schistosomiasis. Screen with FAST-ELISA and confirm with immunoblot. Clin Lab Med. 1991 Dec;11(4):1029–1039. [PubMed] [Google Scholar]
  27. Yasawy M. I., El Shiekh Mohamed A. R., Al Karawi M. A. Comparison between stool examination, serology and large bowel biopsy in diagnosing Schistosoma mansoni. Trop Doct. 1989 Jul;19(3):132–134. doi: 10.1177/004947558901900313. [DOI] [PubMed] [Google Scholar]

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