Peritonitis Secondly to the Hepatocolic Schistosomiasis

¹Department of Surgery, Koidu Government Hospital, Sierra Leone

²Department of Surgery, Connaught Referral Hospital, Sierra Leone

³Research Unit, PIH, Sierra Leone

*Corresponding Author: Niyirera Eugene, Department of Surgery, Koidu Government Hospital, Sierra Leone, Phone: +250788853948, Email: [email protected]

Received Date: October 08, 2024

Published Date: November 06, 2024

Citation: Niyirera E, et al. (2024). Peritonitis Secondly to the Hepatocolic Schistosomiasis. Mathews J Case Rep. 9(10):190.

Copyrights: Niyirera E, et al. (2024).

ABSTRACT

Background: Schistosomiasis is a chronic parasitic infection endemic in many countries. Colonic schistosomiasis is a rare entity with no specific clinical manifestations or endoscopic aspects, which delay the diagnosis. Diagnosis is primarily dependent on histopathological analysis, and treatment with antihelminthics typically resolves the infection. Case Summary: A 17 years old male patient who consulted emergency department with features of chronic malnutrition and generalized peritonitis associated with hepatomegaly. Lab investigations have shown anemia and leucocytosis. Emergency laparotomy was done and found granulomatous distal colon from rectum to the splenic flexure, multiple mesenteric lymph nodes and hepatosplenomegaly with multiple nodules on the liver. Biopsies for lymph node and from sigmoid were taken then abdomen was closed. Perioperatively, was given antibiotics (ceftriaxone and metronidazole) and discharged at POD7. Was seen again after 2 months after getting histology results. Biopsy was taken and revealed dead and live schistoma and inflammatory mesenteric lymph nodes. The boy has been reassessed was gaining weight, no complain, no organomegaly. The patient was having been given Praziquantel. Conclusion: Colonic schistosomiasis may cause peritonitis due to reactive inflammatory mesenteric lymph nodes and colonic granuloma, exploratory laparotomy or diagnostic laparoscopy and tissue biopsy confirm the diagnosis. Praziquantel may be initiated as long as schistosomiasis is highly suspected.

Keywords: Intestinal Schistosomiasis, Endemic, Neglected Tropical Diseases.