Subscribe to RSS
DOI: 10.1055/s-2003-37255
Recurrent Nonvariceal Upper Gastrointestinal Bleeding in a Patient with Gastroduodenal Schistosomiasis
Publication History
Submitted: 11 July 2002
Accepted after Revision: 8 August 2002
Publication Date:
13 February 2003 (online)
![](https://www.thieme-connect.de/media/endoscopy/200303/lookinside/thumbnails/10.1055-s-2003-37255-1.jpg)
In this case report, we describe the rare situation of a patient with nonvariceal upper gastrointestinal bleeding induced by gastric and duodenal involvement of Schistosoma mansoni infection. In this unique case severe, recurrent upper gastrointestinal bleeding was induced by central ulcerations of gastric pseudopolypoid and duodenal polypoid lesions. However, very atypically, there were no signs of portal hypertension, coagulopathy, or variceal bleeding, and no macroscopic evidence of lower gastrointestinal tract involvement. Neither anti-ulcer therapy nor endoscopic hemostasis methods were effective in preventing recurrent bleeding episodes. Finally, typical histological and serological tests (positive for S. mansoni hemagglutination) led to the correct diagnosis, and the patient was completely cured by specific antischistosomal therapy.
References
- 1 Strickland G T. Gastrointestinal manifestations of schistosomiasis. Gut. 1994; 35 1334-1337
- 2 Schafer T W, Hale B R. Gastrointestinal complications of schistosomiasis. Curr Gastroenterol Rep. 2001; 3 293-303
- 3 Raddawi H M, Nazer H, Ilahi F. Unusual patterns of schistosomal disease of the colon. Gastrointest Endosc. 1989; 35 256-258
- 4 Rolachon A, Malavai T, Martin-Ramos J. et al . Severe and recurrent digestive hemorrhage: an uncommon form of colonic schistosomiasis. Gastroenterol Clin Biol. 1996; 20 693-695
- 5 Contractor Q Q, Benson L, Schultz T B. et al . Duodenal involvement in Schistosoma mansoni infection. Gut. 1988; 29 1011-1012
- 6 Witham R R, Mosser R S. An unusual presentation of schistosomiasis duodenitis. Gastroenterology. 1979; 77 1316-1318
- 7 Rosin I R, Todes G W. Bilharzial ulcer of the stomach. Report of a case. Cent Afr J Med. 1966; 12 179-180
L. Madácsy, M.D., Ph.D.
6725 Korányi f. 8
PO Box 469 · Szeged · Hungary ·
Fax: + 36-62-545185
Email: madl@in1st.szote.u-szeged.hu