Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0000727 (acute abdomen)
 3,084 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The endoscopic, radiological and histological findings in several of our patients with Schistosoma mansoni infection are described. Seventy-two patients with hepatosplenic schistosomiasis. Endoscopic sclerotherapy was effective in 45 patients with bleeding varices. Ultrasound of the liver was suggestive of periportal fibrosis in 48 of these 72 patients, in 30 of whom liver biopsy demonstrated a Schistosoma granuloma or periportal fibrosis. Gastroscopy revealed congestion, erosions or ulcerations in the stomach in 40 of these patients and in the duodenum in 23 patients. Schistosoma ova and inflammatory changes were seen in endoscopic biopsies from the stomach in three out of twelve and five out of eight duodenal biopsies. The colonoscopic findings were suggestive of schistosomiasis in 98 out of 216 patients with colonic schistosomiasis. Eight patients had schistosomal polyps and one had colonic calcifications. Schistosoma ova were seen in surgical specimens from patients presenting with an acute abdomen due to appendicitis in six, cholecystitis in three and mesenteric vein thrombosis in three. In one of the latter the mesenteric angiogram showed an internal mesenteric vein blocked by ova.
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PMID:Organ involvement in hepato-intestinal schistosomiasis. 795 74

Schistosomiasis is a major parasitic infection of tropical areas. We present a 26-year-old male immigrant from Egypt with acute abdomen due to schistosomial infection, mimicking symptoms of acute appendicitis, with histopathological detection and representation of schistosomial eggs in the unusual area of the greater omentum. This is a rare case with findings of intra-peritoneal schistosoma ova. We review the pertinent literature and indicate the need for a new approach to infectious diseases with unusual clinical presentation, due to pathogens coming from distal geographical regions, in which surgeons must keep a high index of suspicion.
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PMID:Schistosomal peritonitis: a rare cause of acute abdomen. 1913 20