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Ureteric schistosomiasis with obstructive uropathy.

Author(s)
Kabir Bolarinwa Badmos College of Health Sciences, University of Ilorin, Ilorin, Nigeria
Ademola Alabi Popoola College of Health Sciences, University of Ilorin, Ilorin, Nigeria
Mikhail Olayinka Buhari College of Health Sciences, University of Ilorin, Ilorin, Nigeria
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.
Publication Details
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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