title: Ureteric schistosomiasis with obstructive uropathy.
abstract: A 25-year-old male Nigerian undergraduate who had earlier been treated with praziquantel for schistosomal epidydymitis presented with clinical features of pyelonephritis, and radiological appearances of bilateral hydroureteronephrosis with fibrosis of lower ureters. Surgical resection of the ureters, Boari flap and Psoas hitch reconstruction were done. The histology of the resected ureters proved schistosomiasis. He was subsequently treated with praziquantel and artemether. This case highlights the insidious nature of schistosomiasis infection, possibility of progression of primary infection with complications or probable reinfection in a previously treated individual. In any case, surgical intervention may be necessary in those who present late with severe ureteric stricture and also to prevent progressive renal damage.
authors: Department of Pathology, College of Health Sciences, University of Ilorin, Ilorin, Nigeria. badmoskb@yahoo.com
authors: Kabir Bolarinwa
authors: KB
authors: Badmos
authors: Ademola Alabi
authors: AA
authors: Popoola
authors: Mikhail Olayinka
authors: MO
authors: Buhari
authors: Adekunle Yisau
authors: AY
authors: Abdulkadir
mesh_terms: D000208:Acute Disease; D000328:Adult; D006801:Humans; D008297:Male; D011704:Pyelonephritis / Q000209:etiology; D012553:Schistosomiasis haematobia / Q000150:complications* / Q000601:surgery; D014513:Ureter / Q000382:microbiology; D014517:Ureteral Obstruction / Q000382:microbiology* / Q000601:surgery; D001743:Urinary Bladder / Q000473:pathology