Department of Urology, Ipiranga Hospital, São Paulo, SP, Brazil.
Rev Soc Bras Med Trop. 2009 Sep-Oct;42(5):581-2. doi: 10.1590/s0037-86822009000500018.
The relationship between bladder tumors and Schistosoma haematobium is well known, but only sporadic cases of bladder infection due to Schistosoma mansoni have been reported. In this case, a 48-year-old woman with macroscopic hematuria, dysuria and a palpable abdominal mass was investigated. Ultrasound showed a large exophytic mass in the bladder. Transurethral resection of the bladder revealed viable eggs of Schistosoma mansoni. The patient was treated clinically with oxamniquine and surgery was performed to resect the large mass. This case shows that schistosomiasis Mansoni in the bladder can simulate bladder cancer.
膀胱肿瘤与埃及血吸虫之间的关系众所周知，但据报道，曼氏血吸虫引起的膀胱感染只是偶发病例。在本例中，一名 48 岁女性因肉眼血尿、尿痛和可触及的腹部肿块就诊。超声显示膀胱内有一个大的外生性肿块。经尿道膀胱肿瘤电切术显示有活的曼氏血吸虫卵。该患者经临床用奥沙米嗪治疗，并进行手术切除了这个大肿块。本病例表明，曼氏血吸虫在膀胱中可模拟膀胱癌。
