Year 2025 / Volume 117 / Number 2
Letter
The lucky polyp: an unusual manifestation of chronic schistosomiasis

110-111

DOI: 10.17235/reed.2024.10155/2023

Inês Costa Santos, Sara Ramos Lopes, Madalena Teixeira, Cláudio Martins, Matilde Gonçalves, Ana Luísa Alves,

Abstract
A 23-year-old male from Brazil presented with bright red hematochezia. Proctological examination revealed grade II internal hemorrhoids, but flexible sigmoidoscopy uncovered a 6 mm-pedunculated polyp in the sigmoid colon, which was found to result from inflammatory reaction to Schistosoma mansoni egg deposition. The patient had no signs of portal hypertension and was successfully treated with praziquantel. This case underscores a rare presentation of chronic intestinal schistosomiasis and emphasizes the role of early diagnosis in preventing severe hepatic sequelae of chronic Schistosoma infection.
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References
1. Centers for Disease Control and Prevention. Schistosomiasis. DPDx - Laboratory Identification of Parasites of Public Health Concern. Centers for Disease Control and Prevention website. 2019. https://www.cdc.gov/dpdx/schistosomiasis/index.html>.
2. Qin X, Liu CY, Xiong YL, et al. The clinical features of chronic intestinal schistosomiasis-related intestinal lesions. BMC Gastroenterol. 2021;21(1):12. doi:10.1186/s12876-020-01591-7.
3. Al-Zubaidi AM, Bashanfer GA, Alqannas MH, et al. Colonic Polyps an Unusual Manifestation of Schistosomiasis. Am J Case Rep. 2020;21:e923177. doi:10.12659/AJCR.923177.
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Santos I, Lopes S, Teixeira M, Martins C, Gonçalves M, Alves A, et all. The lucky polyp: an unusual manifestation of chronic schistosomiasis. 10155/2023


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Publication history

Received: 10/12/2023

Accepted: 18/12/2023

Online First: 11/01/2024

Published: 05/02/2025

Article Online First time: 32 days

Article editing time: 423 days


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