Paunovic Brankica, El-Fanek Hani, Fiedler Paul, Appel Clifford, Edwards Leonel
Department of Pathologyand Laboratory Medicine, Danbury Hospital, Danbury, USA.
Conn Med. 2013 Jun-Jul;77(6):339-42.
Schistosomiasis remains a major health threat in many resource-poor countries and is being seen with increasing frequency in developed countries among immigrants and tourists who have a history of freshwater exposure in endemic areas. We report a case ofa 56-year-old male with no significant past medical history, who presented for a routine screening colonoscopy, which revealed two polyps in the cecum, and multiple petechiae in the rectum. Histologic evaluation showed presence of Schistosoma mansoni eggs. One of the polyps, where eggs were also present, was diagnosed as neuroma/ Schwann cell hamartoma. This is the first reported casewhere colonic schistosomiasis is associatedwith cecal neuroma.
血吸虫病在许多资源匮乏的国家仍然是一个重大的健康威胁，并且在发达国家，有在流行地区接触过淡水史的移民和游客中，其发病率正日益上升。我们报告一例56岁男性病例，该患者既往无重大病史，因常规筛查性结肠镜检查就诊，检查发现盲肠有两个息肉，直肠有多处瘀点。组织学评估显示存在曼氏血吸虫卵。其中一个也有虫卵的息肉被诊断为神经瘤/施万细胞错构瘤。这是首例报告的结肠血吸虫病与盲肠神经瘤相关的病例。
