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Case Reports
. 2011 Jul 29:2:105-107.
doi: 10.2147/RRTM.S18797. eCollection 2011.

Intestinal schistosomiasis presenting as large bowel perforation in an HIV-positive individual

R A Cadwallader  1 , N Shabalala  1 , I Thirsk  1
Affiliations
Case Reports

Intestinal schistosomiasis presenting as large bowel perforation in an HIV-positive individual

R A Cadwallader et al. Res Rep Trop Med. .

Abstract

Endemic to over 70 countries and resulting in 200 million infected individuals and 500,000 deaths each year, the Schistosoma trematode worm can result in multisystem morbidity. Bowel obstruction secondary to this parasite has previously been described, but we report the first case of schistosomiasis affecting the sigmoid colon and resulting in perforation in a male positive for human immunodeficiency virus.

Keywords: bowel resection; large bowel obstruction; large bowel perforation; schistosomiasis.

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Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Abdominal X-ray on presentation demonstrating dilated large bowel loops.
Figure 2
Figure 2
Single contrast enema identifying a stricturing lesion in the left colon.
Figure 3
Figure 3
Computed tomography of pelvis.
Figure 4
Figure 4
Left colonic specimen with instrument outlining site of perforation.
See this image and copyright information in PMC

References

    1. Schafer T, Hale B. Gastrointestinal complications of schistosomiasis. Curr Gastroenterol Rep. 2001;3:293–303. - PubMed
    1. Singh N, Mannan A, Kahvic M, et al. Jejunal perforation caused by schistosomiasis. Trop Doct. 2010;40:191–192. - PubMed
    1. Argemi X, Camuset G, Abou-Baker A, et al. Rectal perforation caused by Schistosoma haematobium. Am J Trop Med Hyg. 2009;80:179–181. - PubMed
    1. Atik F, Lopes Filho G, Linhares M, et al. Large intestine obstruction complicated by perforation: A rare manifestation of Schistosoma mansoni infection. Sao Paulo Med J. 1998;116:1781–1783. - PubMed
    1. Smith J, Said M, Kelada A, et al. Studies on schistosomal rectal and colonic polyposis. Am J Trop Med Hyg. 1977;26:80–84. - PubMed

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