[A young woman from Cameroon with rectal blood loss, intestinal schistosomiasis and rectosigmoid carcinoma].
A 32-year-old woman from Cameroon presented with rectal blood loss due to a focally infiltrating adenocarcinoma of the rectosigmoid in the presence of an active intestinal schistosomiasis (Schistosoma intercalatum). A correlation between chronic intestinal schistosomiasis and the development of colorectal cancer has been suggested in the literature, but is not uniformly accepted. However, the case presented here reinforces this suggestion. In a patient with rectal blood loss who comes from an area where intestinal schistosomiasis is endemic, the possibility of a colorectal carcinoma should be considered in the diagnosis.
Medisch Centrum Haaglanden, locatie Westeinde, afd. Interne Geneeskunde en Maag-, Darm- en Leverziekten, Den Haag. marcellamueller@hotmail.com
M C A
MC
Müller
S D J
SD
van der Werf
D000328:Adult; D002163:Cameroon; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007411:Intestinal Diseases, Parasitic / Q000150:complications*; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000209:etiology*; D012552:Schistosomiasis / Q000150:complications*; D012811:Sigmoid Neoplasms / Q000175:diagnosis / Q000209:etiology*