Elbatee Hassan E, Emara Mohamed H, Zaghloul Mariam S, Ahmed Mohammed H, Radwan Mohamed I, Seif Ahmed S, Elmoghazy Magdy B, Elkashef Wagdi F
Hepatology, Gastroenterology and Infectious Diseases Department, Faculty of Medicine Kafrelsheikh University Kafrelsheikh Egypt.
Tropical Medicine Department, Faculty of Medicine Zagazig University Zagazig Egypt.
JGH Open. 2019 Apr 12;4(2):280-283. doi: 10.1002/jgh3.12181. eCollection 2020 Apr.
Bilharziasis (Schistosomiasis) is the third devastating tropical disease globally and is endemic in many countries including Egypt. The pathology of chronic colonic schistosomiasis results from egg-induced immune response, granuloma formation, and associated fibrotic changes that may manifest as bloody diarrhea, cramping, and, eventually, inflammatory colonic polyposis. Huge polyps complicating schistosomiasis are not frequently reported in the literature. Also, huge polyps as a sole manifestation of intestinal bilharziasis are rather rarely reported. Here, we report an Egyptian male patient who presented with bleeding per rectum with a huge polyp on colonoscopy, with morphological traits that mimicked colon cancer and proved to be of bilharzial etiology after surgical excision.
血吸虫病是全球第三大致命性热带疾病，在包括埃及在内的许多国家都有流行。慢性结肠血吸虫病的病理变化源于虫卵引起的免疫反应、肉芽肿形成以及相关的纤维化改变，这些改变可能表现为血性腹泻、绞痛，最终发展为炎症性结肠息肉病。文献中较少报道血吸虫病合并巨大息肉的情况。此外，巨大息肉作为肠道血吸虫病的唯一表现也相当罕见。在此，我们报告一名埃及男性患者，该患者结肠镜检查时发现直肠出血并伴有一个巨大息肉，其形态特征类似结肠癌，手术切除后证实病因是血吸虫病。
