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一例罕见的酷似结肠癌的巨大血吸虫病相关性盲肠息肉病例。

A Rare Case of Huge Schistosomiasis-Associated Cecal Polyp Mimicking Colon Carcinoma.

作者信息

Abdelfattah Ahmed H, Ali Mubarak, Abd El Fattah Ahmed A, Ghazy Mostafa, Eladl Ahmed E, Elkot Ahmed N

机构信息

Internal Medicine, University of Kentucky College of Medicine, Lexington, USA.

Internal Medicine, Mansoura International Hospital, Mansoura, EGY.

出版信息

Cureus. 2023 Apr 17;15(4):e37718. doi: 10.7759/cureus.37718. eCollection 2023 Apr.

DOI:10.7759/cureus.37718
PMID:37206495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10191617/
Abstract

Schistosomiasis is a parasitic infection caused by Schistosoma species, commonly found in tropical and subtropical regions. It affects millions of people worldwide and can lead to different clinical presentations like abdominal pain, weight loss, anemia, and chronic colonic schistosomiasis. In rare cases, chronic infection can result in the development of polyps, which can mimic colon carcinoma, posing a diagnostic challenge. Here, we present a rare case of a huge Schistosomiasis-associated cecal polyp in a patient initially suspected to have colon cancer. The patient's clinical history and the histopathological analysis confirmed the diagnosis, emphasizing the importance of considering parasitic infections in the differential diagnosis of gastrointestinal polyps in Schistosomiasis-endemic areas. This case report highlights the need for increased awareness among healthcare professionals of the potential for Schistosomiasis-associated polyps and the importance of multidisciplinary management in such cases.

摘要

血吸虫病是一种由血吸虫属寄生虫引起的感染,常见于热带和亚热带地区。它影响着全球数百万人,并可导致不同的临床表现,如腹痛、体重减轻、贫血和慢性结肠血吸虫病。在罕见情况下,慢性感染可导致息肉形成,这些息肉可能类似于结肠癌,给诊断带来挑战。在此,我们报告一例罕见的巨大血吸虫病相关性盲肠息肉病例,该患者最初被怀疑患有结肠癌。患者的临床病史和组织病理学分析证实了诊断,强调在血吸虫病流行地区,在胃肠道息肉的鉴别诊断中考虑寄生虫感染的重要性。本病例报告强调了医疗保健专业人员提高对血吸虫病相关性息肉可能性的认识以及此类病例多学科管理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0503/10191617/7a471dda79d0/cureus-0015-00000037718-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0503/10191617/7ded4daf6cb2/cureus-0015-00000037718-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0503/10191617/1fea8b03121a/cureus-0015-00000037718-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0503/10191617/7a471dda79d0/cureus-0015-00000037718-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0503/10191617/7ded4daf6cb2/cureus-0015-00000037718-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0503/10191617/1fea8b03121a/cureus-0015-00000037718-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0503/10191617/7a471dda79d0/cureus-0015-00000037718-i03.jpg

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本文引用的文献

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Huge Colonic Granuloma of Schistosomiasis Mimicked Cancer in a 10-Years-Old Child: A Case Report.一名10岁儿童的血吸虫病巨大结肠肉芽肿酷似癌症:病例报告
Int Med Case Rep J. 2022 Jul 21;15:379-384. doi: 10.2147/IMCRJ.S372186. eCollection 2022.
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Huge bilharzial polyp mimicking colon cancer.酷似结肠癌的巨大血吸虫息肉。
JGH Open. 2019 Apr 12;4(2):280-283. doi: 10.1002/jgh3.12181. eCollection 2020 Apr.
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Schistosomiasis manifesting as a colon polyp: a case report.表现为结肠息肉的血吸虫病:一例报告
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Prevalence and associated factors of Schistosomiasis among children in Yemen: implications for an effective control programme.也门儿童中血吸虫病的流行情况及其相关因素:对有效控制规划的影响。
PLoS Negl Trop Dis. 2013 Aug 22;7(8):e2377. doi: 10.1371/journal.pntd.0002377. eCollection 2013.