A rare cause of colonic stricture: amebiasis.
A 41-year-old man presenting with lower abdominal pain, constipation, abdominal distention, fever (37.5 degrees C) and fatigue was evaluated, and a mass localized to the left lower abdomen was identified. Radiographic and colonoscopic examination revealed a stricture 10 cm in length localized to the sigmoid-descending colon junction. The diagnosis of amebiasis was confirmed by histological examination of a biopsy specimen taken from the stricture and stool examination. One month after the initiation of metronidazole treatment, complete clinical and laboratory improvement was observed. In the differential diagnosis of colonic stricture, amebiasis should also be considered.
Kaya
Muhsin
M
Department of Gastroenterology, SSK Region Hospital, and Department of Pathology, Dicle University School of Medicine, Diyarbakir, Turkey. muhsinkaya20@hotmail.com
Aydin
Fatih
F
Büyükbayram
Hüseyin
H
D000328:Adult; D000562:Amebiasis / Q000150:complications* / Q000175:diagnosis / Q000469:parasitology; D000818:Animals; D001706:Biopsy; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000469:parasitology; D003251:Constriction, Pathologic; D003937:Diagnosis, Differential; D019160:Endosonography; D004748:Entamoeba histolytica / Q000302:isolation & purification; D006801:Humans; D007413:Intestinal Mucosa / Q000469:parasitology / Q000473:pathology; D008297:Male; D014057:Tomography, X-Ray Computed