肠道血吸虫病：腹痛和体重减轻的罕见病因。
Intestinal Schistosomiasis: A Rare Cause of Abdominal Pain and Weight loss.
作者信息
Shuja Asim, Guan Jian, Harris Ciel, Alkhasawneh Ahmad, Malespin Miguel, De Melo Silvio
机构信息
Division of Gastroenterology, University of Florida College of Medicine-Jacksonville.
Internal Medicine, Florida Hospital-Orlando.
出版信息
Cureus. 2018 Jan 18;10(1):e2086. doi: 10.7759/cureus.2086.
Abstract
Abdominal pain is one of the most common reasons for outpatient visits. Although intestinal schistosomiasis is extremely rare in US, it should be considered in the differential diagnosis for those patients with risk factors such as international traveling history. This case report illustrates a unique case of intestinal schistosomiasis, which presented with an eight-week history of nonspecific abdominal pain and weight loss. Her colonoscopy revealed a 10 mm polyp in the colon. Endoscopic mucosal resection confirmed the diagnosis of schistosomiasis. Treatment with Praziquantel resulted in significant improvement of her symptoms.
摘要
腹痛是门诊就诊最常见的原因之一。尽管在美国肠道血吸虫病极为罕见，但对于有国际旅行史等危险因素的患者，在鉴别诊断时应考虑该病。本病例报告展示了一例独特的肠道血吸虫病病例，该患者有长达八周的非特异性腹痛和体重减轻病史。她的结肠镜检查显示结肠有一个10毫米的息肉。内镜下黏膜切除术确诊为血吸虫病。吡喹酮治疗使她的症状有了显著改善。
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