Gul Rahman, Khalid Kamran, Al-Rajhi Mohammad F, Bismar Hayan A
Department of General Surgery, College of Medicine, King Saud University Unit, Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2005 Oct;26(10):1624-6.
Schistosomiasis remains a major world health problem. The disease presents with protean manifestations in the endemic areas. Small bowel schistosomiasis leading to acute intestinal obstruction is an extremely rare clinical presentation. The disease may mimic peritoneal tuberculosis or carcinomatosis intra-operatively. Small bowel bilharziasis leading to obstruction has not been reported in the recent indexed English literature. This report describes a 50-year-old Yemeni male presenting with acute small bowel obstruction due to schistosomiasis. We review the pathological changes in the intestine following schistosomal infection and discuss diagnosis and treatment. We emphasize the importance of histopathology on all surgical specimens.
血吸虫病仍然是一个重大的全球健康问题。该病在流行地区有多种表现形式。导致急性肠梗阻的小肠血吸虫病是一种极其罕见的临床表现。该疾病在手术中可能类似腹膜结核或癌病。近期的英文索引文献中尚未报道过导致肠梗阻的小肠血吸虫病。本报告描述了一名50岁的也门男性因血吸虫病出现急性小肠梗阻的病例。我们回顾了血吸虫感染后肠道的病理变化，并讨论了诊断和治疗方法。我们强调对所有手术标本进行组织病理学检查的重要性。
