Ureteric schistosomiasis with obstructive uropathy.
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.
Badmos
Kabir Bolarinwa
KB
Department of Pathology, College of Health Sciences, University of Ilorin, Ilorin, Nigeria. badmoskb@yahoo.com
Popoola
Ademola Alabi
AA
Buhari
Mikhail Olayinka
MO
Abdulkadir
Adekunle Yisau
AY
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