Gonzalez Adalberto, Gupta Kapil, Rodriguez Sandra, Wadhwa Vaibhav, Bejarano Pablo, Charles Roger
Department of Gastroenterology, Cleveland Clinic Florida, Weston, FL.
University of Miami/JFK Medical Center Palm Beach Consortium, Atlantis, FL.
ACG Case Rep J. 2021 Jan 29;8(1):e00485. doi: 10.14309/crj.0000000000000485. eCollection 2021 Jan.
Schistosomiasis is a trematode infection rarely diagnosed in the United States. Intestinal involvement is common with chronic infection and causes abdominal pain, changes in bowel habits, hematochezia, and polyp formation. Chronic, disseminated infection can affect the intestines causing the aforementioned symptoms, but reports of intestinal polyps are rare. Most cases are inflammatory fibrous polyps in the colon. There are very few cases reported in the literature of hamartomatous polyps arising in the small intestine. We present the rare case of a U.S.-born, 35-year-old woman diagnosed with a large duodenal hamartomatous polyp in the setting of intestinal schistosomiasis.
血吸虫病是一种在美国很少被诊断出的吸虫感染。肠道受累在慢性感染中很常见,可引起腹痛、排便习惯改变、便血和息肉形成。慢性播散性感染可影响肠道,导致上述症状,但肠道息肉的报道很少。大多数病例是结肠的炎性纤维性息肉。文献中报道的小肠错构瘤性息肉病例非常少。我们报告了一例罕见病例,一名在美国出生的35岁女性,在肠道血吸虫病背景下被诊断出患有巨大十二指肠错构瘤性息肉。