Document Detail


Schistosomal colonic disease.
MedLine Citation:
PMID:  2110925     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study evaluates 216 patients with schistosomal colonic disease, diagnosed by endoscopic biopsies at the Armed Forces Hospital, Riyadh. The colonoscopic appearance was suggestive of schistosomiasis in 98 of these patients (45.37%), Schistosoma mansoni ova in stool was detected in only 24 of these 216 patients (11.11%). The most common histopathological finding in colonic biopsies of these patients was Schistosoma mansoni ova in the colonic mucosa with no or mild inflammatory cells infiltrates. These findings correlate with the endoscopic appearances in most patients. The most common symptoms were abdominal pain or distention in 84 patients (38.88%). Sixty five patients (30.09%) had hepatosplenic schistosomiasis. Eight patients had schistosomal polyps and two patients had colonic malignancy in which no association between their malignancy and Schistosoma mansoni infection was established. After antischistosomal treatment follow up, sigmoidoscopy was normal in 28 patients who previously had abnormal endoscopic appearances. Colonoscopic examination is valuable in colonic schistosomiasis as it can show characteristic colonic lesions and colonic biopsies are diagnostic and correlates with histological findings.
Authors:
A R Mohamed; M al Karawi; M I Yasawy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gut     Volume:  31     ISSN:  0017-5749     ISO Abbreviation:  Gut     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-06-19     Completed Date:  1990-06-19     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  2985108R     Medline TA:  Gut     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  439-42     Citation Subset:  AIM; IM    
Affiliation:
Gastroenterology Division, Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Biopsy
Child
Colon / pathology
Colonic Diseases / pathology*
Colonoscopy
Female
Humans
Intestinal Mucosa / pathology
Male
Middle Aged
Schistosomiasis mansoni / pathology*
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