Annals of African Surgery

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Schistosoma mansoni proctocolitis with polyposis

Fridah Bosire, Ian Orwa, Michael Mwachiro, Robert Parker, Russell White, Tenwek Hospital


Schistosoma proctocolitis is a rare disease entity, with limited literature on its occurrence. We report the case of a 17 year old male from an endemic area around Lake Victoria, Western Kenya, where detailed disease mapping of Schistosomiasis has been carried out. The patient presented with a seven year history of a protruding rectal mass and occasional hematochezia. Colonoscopy revealed multiple polyps involving the entire colon to the anus, and pathology showed inflammatory polyps secondary to Schistosoma  mansoni. He was successfully managed with medical therapy.

Keywords: Schistosomiasis, Helminthiasis, Neglected Diseases, Colonoscopy, Colonic Polyps

AJOL African Journals Online