International Medical Case Reports Journal (Jul 2022)
Huge Colonic Granuloma of Schistosomiasis Mimicked Cancer in a 10-Years-Old Child: A Case Report
Abstract
Qasem Alyhari,1 Faisal Ahmed,2 Hani Al_Shaibani,3 Mohammed Al_Kubati,4 Assad Alhadi5 1Department of General Surgery, School of Medicine, Ibb University of Medical Sciences, Ibb, Yemen; 2Urology Research Center, Al-Thora General Hospital, Department of Urology, School of Medicine, Ibb University of Medical Sciences, Ibb, Yemen; 3Department of Pediatrics, School of Medicine, Taiz University of Medical Sciences, Taiz, Yemen; 4Department of Pathology, School of Medicine, Taiz University of Medical Sciences, Taiz, Yemen; 5Department of Radiology, Ibb Scan Center, School of Medicine, Ibb University of Medical Sciences, Ibb, YemenCorrespondence: Faisal Ahmed, Urology Research Center, Al-Thora General Hospital, Department of Urology, School of Medicine, Ibb University of Medical Sciences, Ibb, Yemen, Tel/Fax +967 4428950, Email [email protected]: Schistosomiasis is a trematodes infection more prevalent in tropical and subtropical areas such as Yemen. Giant colonic polyp manifestations of intestinal bilharziasis are uncommon, difficult to differentiate from other colonic polyps, and can mimic cancer.Case Report: A 10-year-old child presented with chronic abdominal pain that started ten months ago. The patient had a family history of lymphoma in his brother. The computed tomography scan showed a sigmoid luminal mass measuring 10× 3 cm with significant lumen narrowing and diffuse circumferential wall thickening of the sigmoid colon, hepatomegaly, and multiple perilesional, para-hepatic, and pulmonary lymph nodes enlargements. The mass was morphologically mimicked cancer and proved to be of bilharzial etiology (Schistosoma mansoni) after surgical excision.Conclusion: Even though the bilharzial colonic polyps are rare, it is challenging to differentiate them from other malignant colonic polyps. Clinicians should have a high suspicion regarding its manifestations to avoid unnecessary surgical interventions, especially in an endemic area, even in patients with a strong family history of cancer.Keywords: case report, colonic polyp, Schistosoma, Schistosoma mansoni
