SCHISTOSOMA MANSONI COLITIS PRESENTING WITH PRECANCEROUS LESION: A CASE REPORT FROM ETHIOPIA

Abstract

Chronic colonic schistosomiasis is one of the chronic manifestations of schistosomamansoni . The association between schistosomiasis and colorectal pre-malignant adenomatous polyps and cancer is well established for schistosomajaponicum but not for s.mansoni. Here we report a patient presenting with chronic diarrhea who has no established diagnosis with routine tests for 3 years. The colonoscopy image also masquerade other inflammatory and infectious colitis and the diagnosis was possible with collaboration of the pathologist and evaluation of the samples. He was identified to have colonic schistosomiasis coexisting with adenomatous polyp. This is the first report in the country, strengthens the importance of collaboration with pathologist and stimulates further discussion on one of the neglected tropical disease.