BENIGN UROLOGICAL MANIFESTATIONS OF VESICAL SCHISTOSOMIASIS INFESTATION IN ABUJA: CASE SERIES

Atim Terkaa, Obiatuegwu Kenenna.

Available online Dec 19, 2019.

[ Report ] Volume 28, Issue 3, 2019, Pages 341-345


Abstract

CASE TWO: She presented with predominantly storage lower urinary tract symptoms and lower abdominal
pain. Urologic scan showed thick walled urinary bladder with a central mass. Cystoscopy revealed a small
capacity bladder with a polypoid mass arising from the dome of the bladder which was excised endoscoically
and sent for histological analysis. The histology report was suggestive of schistosomiasis.

CASE THREE: She presented with storage lower urinary tract symptoms and painful terminal hematuria.
Abdominal sonography and CT showed gross bilateral hydroureteronephrosis down to the vesicoureteric
junction. Cystoscopy showed small capacity bladder (<60ml) with sandy patches at the trigone. She had
augmentation cystoplasty and ureteric re-implantation.

CONCLUSION: A strategy for public enlightenment, screening and early detection of schistosoma infestation of
the urinary tract will provide a better assessment of this endemic parasitic infection with rising global public
health concern.


Keywords

Bladder, Cystoscopy, Histology, Schistosoma haematobium, Schistosomiasis, Terminal Hematuria,

JULY - SEPTEMBER 2019

Volume 28 | Issue 3

Page Nos. 341-345

Online since Dec 17, 2019

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