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Am. J. Trop. Med. Hyg., 80(2), 2009, pp. 179-181
Copyright © 2009 by The American Society of Tropical Medicine and Hygiene

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Right arrow Schistosomiasis

CASE REPORT


Rectal Perforation Caused by Schistosoma haematobium

Xavier Argemi, Guillaume Camuset*, Ahmed Abou-Bakar, Ioan Lucescu, Emmanuel Forestier, Daniel Christmann, AND Yves Hansmann
Infectious Diseases Department, and Digestive Surgery Department, University Hospital, Strasbourg, France; Laboratory of Parasitology, University Louis Pasteur, Strasbourg, France

 

ABSTRACT

A 31-year-old woman from Cameroon was admitted to the University of Strasbourg Hospital in December 2007 with pelvic pain and fever that developed over three days. Her condition rapidly worsened and she underwent emergency exploratory celioscopy. Surgeons found peritoneal and retrouterine abscesses. The high rectum had a 4-cm perforation with infiltrated, friable, and irregular edges. A biopsy specimen of this pseudotumoral specimen showed many Schistosoma haematobium eggs with an inflammatory reaction surrounding the eggs. The patient was treated with praziquantel (40 mg/kg/day) for 5 days and a 4-week course of antibiotic therapy. Her progress was good and digestive continuity surgery was performed four months later. Schistosomiasis frequently involves rectal mucosa, but perforation is unusual. Our review of the literature found only two cases of colon perforation associated with S. mansoni infection. To our knowledge, this is the first case of rectal perforation caused by S. haematobium described in the literature.

Received July 1, 2008. Accepted for publication October 20, 2008.

* Address correspondence to Guillaume Camuset, Nouvel Hopital Civil, Place de l’Hôpital, Strasbourg 67 091, France. E-mail: guillaume.camuset{at}chru-strasbourg.fr

Authors’ addresses: Xavier Argemi, Guillaume Camuset, Emmanuel Forestier, Daniel Christmann, and Yves Hansmann, Infectious Disease Department, University Hospital, Strasbourg, France. Ahmed Abou-Bakar, Laboratory of Parasitology, University Louis Pasteur, Strasbourg, France. Ioan Lucescu, Digestive Surgery Department, University Hospital, Strasbourg, France.






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Copyright © 2009 by the American Society of Tropical Medicine and Hygiene.