Ureteric schistosomiasis with obstructive uropathy. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2009]

Author(s):

1. Kabir Bolarinwa Badmos: College of Health Sciences, University of Ilorin, Ilorin, Nigeria

2. Ademola Alabi Popoola: College of Health Sciences, University of Ilorin, Ilorin, Nigeria

3. Mikhail Olayinka Buhari: College of Health Sciences, University of Ilorin, Ilorin, Nigeria

4. Adekunle Yisau Abdulkadir: College of Health Sciences, University of Ilorin, Ilorin, Nigeria

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.

Page(s): 456-458

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 19, Issue: 7, Year: 2009

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