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Chronic schistosomiasis: an incidental finding in sigmoid volvulus
  1. N Mourra1,
  2. M Lesurtel2,
  3. F Paye2,
  4. J-F Flejou3
  1. 1Department of Pathology, Hopital St-Antoine, AP-HP, 184, Rue du Faubourg St-Antoine, 75012, Paris, France; najat.mourra@sat.ap-hop-paris.fr
  2. 2Department of Surgery, Hopital St-Antoine
  3. 3Department of Pathology, Hopital St-Antoine

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    Schistosomiasis, also known as bilharziasis, is an infection caused by trematodes of the genus schistosoma. Three schistosomal species cause most human infections, namely: S japonica, S haematobium, and S mansoni. Intestinal schistosomiasis classically associates with S mansoni, which is endemic in Africa, central south American countries, and in the Middle East.1 Infected persons complain of abdominal pain, diarrhoea, and bloody stools. Most lesions affect the rectum and the left colon. Patients’ tissues tend to be examined only when patients present with intussusception, mass lesions, or strictures that cause intestinal obstruction.2 We report a case of recurrent sigmoid volvulus in a patient incidentally found to have colonic schistosomiasis.

    A 40 year old man, a native of Angola who had immigrated to France five years previously, was referred to our hospital for treatment of a recurrent sigmoid volvulus. The resected colonic segment showed a dilated lumen of the greatly oedematous wall, with a 4 mm red sessile polyp located 2 cm from one edge. This polyp …

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