An Unusual Pedunculated Polyp of the Colon

Zuckerman, Marc J.; Goldfarb, Joel P.; Cho, Kyunghee C.; Molnar, John J.

doi:10.1097/00004836-198304000-00015

Cited by 6 publications

(2 citation statements)

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“…However, schistosoma japonicum has been more frequently implicated [10][11][12][13][14][15] followed by schistosoma mansoni [16] and schistosoma haematobium [11]. Intestinal schistosomiasis has been observed to induce various pathologic conditions including carcinoma [9,[11][12][13][14][15][16][17], lymphoma [18], polyps [19][20], carcinoid [20] pedunculated teratoma [21]• In a hospital-based study in Uganda and Zimbabwe, Waku [22] and colleagues compared 950 cases of infective gastro-intestinal disease, particularly schistosomiasis and amoebiasis, with 249 controls admitted for various diseases other than GI disease. Further stratification of patients into three groups on the basis of the stage of the disease, acute or chronic was done.…”

Section: Discussionmentioning

confidence: 99%

Mucinous Rectal Adenocarcinoma in a Background of Chronic Schistosomiasis: A Case Report and Review of the Literature

Umoke¹,

Oluwole²,

Umoke³

et al. 2019

JSCRI

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Reports have revealed the existence of colonic cancer with chronic bowel schistosomiasis. The specie most frequently involved is Schistosoma japonicum. Few cases have, however, shown Schistosoma mansoni as the involved specie. There seems to be an association between rectal cancer and Schistosoma mansoni infestation. Despite earlier studies that refuted any association between schistosomiasis and colonic cancer, more reports are lending credence to the claim that chronic colonic schistosomiasis, especially with S. Japonicum, may induce colonic cancer and the case with are reporting also point to the fact that S. Mansoni may also be implicated. We report a case of a 35-year-old man with a rectal cancer (pT3N0M0) associated with Schistosoma mansoni. He presented with intestinal obstruction and operation revealed a cirrhotic liver with hepatic schistosomiasis.

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Section: Discussionmentioning

confidence: 99%

Mucinous Rectal Adenocarcinoma in a Background of Chronic Schistosomiasis: A Case Report and Review of the Literature

Umoke¹,

Oluwole²,

Umoke³

et al. 2019

JSCRI

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“…Das Spektrum der pathomorphologischen Merkmale einer chronischen Bilharziose reicht von charakteristischen Veränderungen der Erkrankung (Nachweis von Granulomen, eosinophilen Infiltraten, Eiern und Fibrosierung [7,9] bis zu unspezifischen histologischen Zeichen, die der Colitis ulcerosa und dem Morbus Crohn ähneln können [regionale Veränderungen im Kolon, Mitbefall des Dünndarms] [10], flächenhafte diskontinuierliche Ausbreitung, Kryptenabszesse sowie zelluläre Infiltration der Lamina propria [11,12]). Sowohl entzündliche Pseudopolypen als auch fleckförmige mukosale Kongestion, teleangiektasieähnliche Läsionen und Petechien wurden als nicht diagnostisch verwertbare Schleimhautalterationen beschrieben [13][14][15][16]: Der Nachweis von Parasiteneiern korreliert nicht notwendigerweise mit einer Entzündungsreaktion [16]. Einen Überblick über die differenzialdiagnostisch zu erwägenden Erkrankungen bei einer sich seltenerweise als Ileokolitis oder schwere Kolitis manifestierenden intestinalen Bilharziose [17,18] geben Tab.…”

Section: Falldarstellungunclassified

Chronische Abdominalschmerzen und Eosinophilie bei einer jungen Afrikanerin

Hanck

Verbeke²,

Storm³

et al. 2000

Z Gastroenterol

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A 20-year-old African female was hospitalized several times for diffuse chronic abdominal pain. The following exclusions were made: Acute adnexitis (by laparoscopy), acute appendicitis (by appendectomy), gastric ulcerations (by esophagogastroduodenoscopy) as well as Crohn's disease and ulcerative colitis. However, once taking a closer microscopical look at the mucosa, that otherwise appeared colonoscopically to be normal, multiple eggs of schistosomiasis mansoni (S. mansoni) were found in the colon as well as the rectum. Thus, the diagnosis of an intestinal bilharziosis was finely established. In retrospect even the sample taken for the appendix could have indicated this diagnosis already earlier on. Both the antibodies (ELISA/IFAT) and the specific immunoglobulins (IgE) for S. mansoni proved significantly positive. Therapy of choice was a single oral dosage of praziquantel. Migration and tourism have considerably increased the range of tropical and infectious diseases that need to be included into differential diagnosis. This case report focuses on intestinal bilharziosis as a potential underlying cause of chronic abdominal pain in immigrants of endemically affected areas. Direct diagnosis is the most important diagnostic method. The adult worms are usually inaccessible, so the method of choice to assess both diagnosis and the degree of activity of a chronic infection is evidence of living eggs in the stool. Alternatively, in case of lack of direct evidence diagnosis can be established by endoscopy and rectal biopsy.

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Inflammatory Bowel Disease and Colorectal Cancer

Greenstein¹,

Sachar²

1989

Colorectal Cancer

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An Unusual Pedunculated Polyp of the Colon

Cited by 6 publications

References 0 publications

Mucinous Rectal Adenocarcinoma in a Background of Chronic Schistosomiasis: A Case Report and Review of the Literature

Mucinous Rectal Adenocarcinoma in a Background of Chronic Schistosomiasis: A Case Report and Review of the Literature

Chronische Abdominalschmerzen und Eosinophilie bei einer jungen Afrikanerin

Inflammatory Bowel Disease and Colorectal Cancer

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