Meybehm M, Dworák O, Gugler R
Pathologisches Institut, Universität Bonn.
Dtsch Med Wochenschr. 1989 Jan 6;114(1):19-22. doi: 10.1055/s-2008-1066545.
A 26-year-old Arab had epigastric pain and bloody mucous stools. At coloscopy distal proctitis and a polyp at the rectosigmoid junction were discovered. The polyp had granulomatous inflammatory changes and eggs of Schistosoma mansoni with a characteristic egg shell, central miracidium and lateral spine. Bilharziasis should be considered in the differential diagnosis of chronic inflammatory disease of the intestines.
一名26岁的阿拉伯人出现上腹部疼痛和血性黏液便。结肠镜检查发现直肠远端炎和直肠乙状结肠交界处有一个息肉。该息肉有肉芽肿性炎症改变，还有曼氏血吸虫卵，其具有特征性的卵壳、中央毛蚴和侧棘。在肠道慢性炎症性疾病的鉴别诊断中应考虑血吸虫病。
