An Extraluminal granulomatous manifestation, a rare  presentation of mixed intestinal schistosomiasis :

Narious Naalane; Kafui P  Akakpo; Joachim Amoako; Kafui P  Akakpo; George D  Brown; Elikem K  Ametefe; Benjamin F  Sena; Issa L. Adams; Lily  Wu; Alfred  Tetteh

doi:10.46829/hsijournal.2025.6.7.1.1238-1242

Narious Naalane Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana; Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana
Kafui P Akakpo Department of Pathology, Cape Coast Teaching Hospital , Cape Coast
Joachim Amoako Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana; Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana
Kafui P Akakpo Department of Pathology, Cape Coast Teaching Hospital , Cape Coast
George D Brown Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana; Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana
Elikem K Ametefe Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana; Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana
Benjamin F Sena Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana
Issa L. Adams Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana; Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana
Lily Wu Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana; Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana
Alfred Tetteh Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana

DOI: https://doi.org/10.46829/hsijournal.2025.6.7.1.1238-1242

Keywords: Intestinal schistosomiasis, granulomatous lesions, Schistosoma haematobium, Schistosoma mansoni

Abstract

Schistosomiasis is endemic in sub-Saharan Africa. The commonest intestinal pathology is an intestinal polyp. We report an atypical presentation of mixed Schistosoma haematobium and Schistosoma mansoni infestation. A 51-year-old male presented with a strangulated right inguinoscrotal hernia and had laparotomy. The findings at laparotomy were extensive granulomatous lesions on the serosa of the bowel and omentum. A biopsy for histopathology reported as a mixed Schistosoma haematobium and Schistosoma mansoni infestation.