Keywords
Schistosomiasis; Lesions; Hematuria
Abstract
Objective: To describe a case of a patient with bladder schistosomiasis, assessing the relationship between macroscopic and microscopic bladder schistosomiasis lesions.
Methods: We report the case of a 26 years old male patient with diagnosis of bladder schistosomiasis. We describe the clinical features, diagnosis, treatment and follow-up. We study and take separately biopsies of the macroscopic bladder lesions to further histopathological analysis.
Main results: The patient suffered hematuria and the diagnosis was confirmed by microbiological and histopathological studies. A course ofPraziquantel was prescribed. After the diagnosis of schistosomiasis and transurethral resection of bladder, the patient is still undergoing controls because of the associated risks of the disease. The histological analysis showed modifications from normality but neither differences between the different lesions nor cancer specific pre-malignant lesions.
Conclusions: The patients who have suffered severe urinary schistosomiasis must complete long-term follow-up. The endoscopic and histological correlation doesn’t show different patterns of aggressiveness.
Citation
Ruger L, Fernandez-Pello S, Aguilar RR, Gil R, Baldissera J and Mosquera J. Clinical and Histopathological Correlation of