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Bilharzioma of Meckel's Diverticulum: A Case Report of Unusual Location

Received: 23 February 2020     Accepted: 16 March 2020     Published: 14 April 2020
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Abstract

Bilharzioma is pseudotumor caused by Schistosoma infestation that is localized most common in large bowel. Different localizations of Bilharzioma such as breast, lung, spinal cord and female genitalia have been reported. In this unusual case report, for a 12-year-old boy, atypical location of bilharzioma was found after operation for a presumed appendicitis. It was localized at the tip of Meckel's diverticulum (Figure 1). The diagnostic histological findings of the biopsy specimens are shown in Figure 2 and figure 3. The patient was from an endemic area of bilharziasis in Dhamar governorate. He was suffering of chronic right iliac fossa pain identical to appendicitis. The pain was intermittent and associated with irregular tenesmus, diarrhea and low grade fever. There was no history of previous treatment for bilharziasis. At discharge this patient was treated with Praziquantel and at follow-up one month later there was complete recovery. This case report shed the light on the importance of histopathologic analysis of Meckel’s diverticulum as it may be mistaken for an inflammatory or malignant disease.

Published in American Journal of Pediatrics (Volume 6, Issue 2)
DOI 10.11648/j.ajp.20200602.27
Page(s) 159-161
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Bilharzioma, Meckel's Diverticulum, Boy

References
[1] Makunike-Mutasa R, PHrir K. Bilharzioma of the fallopian tube - a case report. Cent Afr J Med 2015; 61: 21-23.
[2] El-Badawi AA. Bilharzial polypi of urinary bladder. BrJ Urol 1966; 38 (1): 24-35.
[3] Al Ghorab MM. Radilogical Manifestation of genitourinary Biliharziasis. Clin Radiol 1968; 19: 100-11.
[4] Albert Wandaogo, Isso Ouédraogo, Toussaint Wendlamita Tapsoba, Emile Bandré, Francis Somkieta Ouédraogo, Bernadette Béré, and Balima Elie. Appendicular bilharzioma: An unusual cause of acute intestinal obstruction in childhood (a case report at Charles de Gaulle Paediatric Teaching Hospital of Ouagadougo. Afr J Paediatr Surg. 2016; 13 (4): 206–208. doi: 10.4103/0189-6725.194668.
[5] Makunike R, Muronda C. Breast schistosomiasis', a case report. Histopatho 2002; 40 (2): 175-6.
[6] Tompson HT, Pettigrew RR, Johnson EA Solitary pulmonary bilharzioma. Thorax 979; 34: 401 -2.
[7] Diaa Self-Eldin. Bilharziasis of the fallopiar tubes and ovaries. Int J Obstetr Gynaecoi 2005; 65 (3): 457-9.
[8] Mouktar M. Functional disorders due tc bilharzial infection of the female genital tract. BJOG 2005; 73 (2): 307-10.
[9] Ashoush Sherif A, Farid Rola M, Helal Thanaa E. Female genital schistosomiasis is a neglected cause of reproductive ill-health: rare presentations and review of the literature. Egyptian J of Pathology 2011; 31 (2): 98–103. doi: 10.1097/01.XEJ.0000406599. 96484.c0 http://journals./ww.com/ejpathology/toc/2011/12000.
[10] Elsayes KM, Menias CO, Harvin HJ, Francis IR (July 2007). "Imaging manifestations of Meckel's diverticulum". AJR Am J Roentgenol. 189 (1): 81–8. doi: 10.2214/AJR.06.1257.
[11] Chistulo L, Loverde P, Engels D. Disease watch: schistosomiasis. TDR Nat Rev Microbiol 2004; 2: 12.
[12] Deelder AM, Miller RL. Dejonge N, Krijger FW. Detection of schistosoma antigen in mummies. Lancet 1990; 335: 724-5.
[13] Elmasaline FN, Raheen MA, Badaw G, Suberi SR, Matboul J. Rectosigmoid bilharzioma causing intestinal obstruction. Paediatr Surg 1979; 32 (4): 631-3.
[14] Fievet JP, Gras C, Floch JJ, Zimmermann JM, Cazenave JC, Barnaud P. Genitourinary bilharzioma. Isolated cases of vesical bilharzioma and epididymal bilharzioma. Med Trop 1985; 45 (3): 313-7.
[15] Arjun Vaid, Eva Patalas and Manish Tandon. An Unusual Case of Hematochezia: A Rectal Bilharzioma. am J of Gastroenterology 2011; 169-170. DOI: 10.1038/ajg.2010.373. PubMed. https://www.researchgate.net/publication/49735024.
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  • APA Style

    Mohamed Abdulhadi Al-Bahlooly, Ahmed Hamood Al-Shehari, Abdulhakim Ali Mohammed Al-Selwi, Saeed Hadi Al-Bahlooli. (2020). Bilharzioma of Meckel's Diverticulum: A Case Report of Unusual Location. American Journal of Pediatrics, 6(2), 159-161. https://doi.org/10.11648/j.ajp.20200602.27

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    ACS Style

    Mohamed Abdulhadi Al-Bahlooly; Ahmed Hamood Al-Shehari; Abdulhakim Ali Mohammed Al-Selwi; Saeed Hadi Al-Bahlooli. Bilharzioma of Meckel's Diverticulum: A Case Report of Unusual Location. Am. J. Pediatr. 2020, 6(2), 159-161. doi: 10.11648/j.ajp.20200602.27

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    AMA Style

    Mohamed Abdulhadi Al-Bahlooly, Ahmed Hamood Al-Shehari, Abdulhakim Ali Mohammed Al-Selwi, Saeed Hadi Al-Bahlooli. Bilharzioma of Meckel's Diverticulum: A Case Report of Unusual Location. Am J Pediatr. 2020;6(2):159-161. doi: 10.11648/j.ajp.20200602.27

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  • @article{10.11648/j.ajp.20200602.27,
      author = {Mohamed Abdulhadi Al-Bahlooly and Ahmed Hamood Al-Shehari and Abdulhakim Ali Mohammed Al-Selwi and Saeed Hadi Al-Bahlooli},
      title = {Bilharzioma of Meckel's Diverticulum: A Case Report of Unusual Location},
      journal = {American Journal of Pediatrics},
      volume = {6},
      number = {2},
      pages = {159-161},
      doi = {10.11648/j.ajp.20200602.27},
      url = {https://doi.org/10.11648/j.ajp.20200602.27},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200602.27},
      abstract = {Bilharzioma is pseudotumor caused by Schistosoma infestation that is localized most common in large bowel. Different localizations of Bilharzioma such as breast, lung, spinal cord and female genitalia have been reported. In this unusual case report, for a 12-year-old boy, atypical location of bilharzioma was found after operation for a presumed appendicitis. It was localized at the tip of Meckel's diverticulum (Figure 1). The diagnostic histological findings of the biopsy specimens are shown in Figure 2 and figure 3. The patient was from an endemic area of bilharziasis in Dhamar governorate. He was suffering of chronic right iliac fossa pain identical to appendicitis. The pain was intermittent and associated with irregular tenesmus, diarrhea and low grade fever. There was no history of previous treatment for bilharziasis. At discharge this patient was treated with Praziquantel and at follow-up one month later there was complete recovery. This case report shed the light on the importance of histopathologic analysis of Meckel’s diverticulum as it may be mistaken for an inflammatory or malignant disease.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Bilharzioma of Meckel's Diverticulum: A Case Report of Unusual Location
    AU  - Mohamed Abdulhadi Al-Bahlooly
    AU  - Ahmed Hamood Al-Shehari
    AU  - Abdulhakim Ali Mohammed Al-Selwi
    AU  - Saeed Hadi Al-Bahlooli
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    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajp.20200602.27
    DO  - 10.11648/j.ajp.20200602.27
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 159
    EP  - 161
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20200602.27
    AB  - Bilharzioma is pseudotumor caused by Schistosoma infestation that is localized most common in large bowel. Different localizations of Bilharzioma such as breast, lung, spinal cord and female genitalia have been reported. In this unusual case report, for a 12-year-old boy, atypical location of bilharzioma was found after operation for a presumed appendicitis. It was localized at the tip of Meckel's diverticulum (Figure 1). The diagnostic histological findings of the biopsy specimens are shown in Figure 2 and figure 3. The patient was from an endemic area of bilharziasis in Dhamar governorate. He was suffering of chronic right iliac fossa pain identical to appendicitis. The pain was intermittent and associated with irregular tenesmus, diarrhea and low grade fever. There was no history of previous treatment for bilharziasis. At discharge this patient was treated with Praziquantel and at follow-up one month later there was complete recovery. This case report shed the light on the importance of histopathologic analysis of Meckel’s diverticulum as it may be mistaken for an inflammatory or malignant disease.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Pediatric Department, Dhamar University, Dhamar, Yemen

  • Pediatric Department, Dhamar University, Dhamar, Yemen

  • Pediatric Department, Dhamar University, Dhamar, Yemen

  • Surgical Department, Dhamar University, Dhamar, Yemen

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