Volume 80, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


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 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 infection. To our knowledge, this is the first case of rectal perforation caused by described in the literature.


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  1. Doumenge JP, Mott KE, 1987. Atlas of the Global Distribution of Schistosomiasis. Geneva: World Health Organization.
  2. Ross AG, Bartley PB, Sleigh AC, Olds GR, Li Y, Williams GM, McManus DP, 2002. Schistosomiasis. N Engl J Med 346 : 1212–1220. [Google Scholar]
  3. Atik FA, Lopes GJ, Linhares M, Seda J, Mansur NS, 1998. Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection. Sao Paulo Med J 116 : 1781–1783. [Google Scholar]
  4. Gryseels B, Polman K, Clerinx J, Kestens L, 2006. Human schistosomiasis. Lancet 368 : 1106–1118. [Google Scholar]
  5. Poggensee G, Kiwelu I, Saria M, Richter J, Krantz I, Feldmeier H, 1998. Schistosomiasis of the lower reproductive tract without egg excretion in urine. Am J Trop Med Hyg 59 : 782–783. [Google Scholar]
  6. Poggensee G, Feldmeier H, 2001. Female genital schistosomiasis: facts and hypotheses. Acta Trop 22 79 : 193–210. [Google Scholar]
  7. Wu TS, Chen TC, Chen RJ, Chiang PC, Leu HS, 1999. Schistosoma japonicum infection presenting with colon perforation: case report. Changgeng Yi Xue Za Zhi 22 : 676–681. [Google Scholar]
  8. Hodasi WM, 1998. Schistosoma appendicitidis. Trop Doct 18 : 105–106. [Google Scholar]
  9. Rivasi F, Pampiglione S, 2006. Appendicitis associated with presence of Schistosoma haematobium eggs: an unusual pathology for Europe. Report of three cases. APMIS 114 : 72–76. [Google Scholar]
  10. Gabbi C, Bertolotti M, Iori R, Rivasi F, Stanzani C, Maurantonio M, Carulli N, 2006. Acute abdomen associated with schistosomiasis of the appendix. Dig Dis Sci 51 : 215–217. [Google Scholar]
  11. Garg J, Bakhtar OR, Ramamoorthy S, 2007. Image of the month. Perforated schistosomal appendicitis. Arch Surg 142 : 487–488. [Google Scholar]
  12. Adebamowo CA, Akang EE, Ladipo JK, Ajao OG, 1991. Schistosomiasis of the appendix. Br J Surg 78 : 1219–1221. [Google Scholar]
  13. Adehossi E, Parola P, 2004. Schistosomal appendicitis. Lancet Infect Dis 4 : 498. [Google Scholar]
  14. Satti MB, Tamimi DM, Al Sohaibani MO, Al Quorain A, 1987. Appendicular schistosomiasis: a cause of clinical acute appendicitis? J Clin Pathol 40 : 424–428. [Google Scholar]
  15. Badmos KB, Komolafe AO, Rotimi O, 2006. Schistosomiasis presenting with acute appendicitis. East Afr Med J 83 : 528–532. [Google Scholar]
  16. O’Leary MP, Mattia AR, 1994. Case 1—1994—A 27 year-old woman with secondary infertility and a bladder mass. N Engl J Med 330 : 51–57. [Google Scholar]
  17. Wilson MS, Mentink-Kane MM, Pesce JT, Ramalingam TR, Thompson R, Wynn TA, 2007. Immunopathology of schistosomiasis. Immunol Cell Biol 85 : 148–154. [Google Scholar]
  18. Lambertucci JR, Rayes AA, Serufo JC, Nobre V, 2001. Pyogenic abscesses and parasitic diseases. Rev Inst Med Trop Sao Paulo 43 : 67–74. [Google Scholar]
  19. Teixeira R, Pfeilsticker FJ, Santa Cecília GD, Nobre V, Fonseca LP, Serufo JC, Coelho PM, Lambertucci JR, 2001. Schistosomiasis mansoni is associated with pyogenic liver abscesses in the state of Minas Gerais, Brazil. Mem Inst Oswaldo Cruz 96 (Suppl) : 143–146. [Google Scholar]
  20. Teixeira R, Coelho PM, Brasileiro Filho G, Azevedo Junior GM, Serufo JC, Pfeilsticker FJ, Abreu FP, Costa CP Jr, Pfeilsticker FJ, Santa Cecilia GD, Lambertucci JR, 2001. Pathogenic aspects of pyogenic liver abscess associated with experimental schistosomiasis. Am J Trop Med Hyg 64 : 298–302. [Google Scholar]

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  • Received : 01 Jul 2008
  • Accepted : 20 Oct 2008

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