Bowel endometriosis and schistosomiasis: a rare but possible association.
OBJECTIVE
To report the case of a patient submitted to laparoscopic bowel resection in whom histology revealed endometriosis and schistosomiasis.


METHODS
Case report.


METHODS
Multidisciplinary group practice and teaching hospital.


METHODS
A 31-year-old patient with pelvic pain.


METHODS
Laparoscopic bowel resection.


METHODS
Laparoscopic treatment of endometriosis affecting the sigmoid.


RESULTS
Histology performed on tissue removed at surgery revealed epithelioid granulomas with birefringent and partially calcified eggs characteristic of Schistosoma mansoni within an endometriotic lesion affecting the entire width of the sigmoid.


CONCLUSIONS
Endometriosis and schistosomiasis may be present simultaneously in patients with bowel symptoms and pelvic pain.
Department of Obstetrics and Gynecology, Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, Brazil. msabrao@attglobal.net
Mauricio Simoes
MS
Abrao
João Antonio
JA
Dias
Sérgio
S
Podgaec
Filomena Marino
FM
Carvalho
Marcelo
M
Averbach
D000328:Adult; D012809:Colon, Sigmoid / Q000469:parasitology* / Q000601:surgery; D004715:Endometriosis / Q000469:parasitology* / Q000601:surgery; D005260:Female; D006801:Humans; D017699:Pelvic Pain / Q000469:parasitology / Q000601:surgery; D012552:Schistosomiasis / Q000469:parasitology / Q000601:surgery