Hematuria. Patient is from central Africa.
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Bladder wall is thickened with thin calcification within.
Urinary schistosomiasis is a tropical parasitic disease caused by a flatworm (or "flat") called Schistosoma. It contaminates fresh water in some areas of the world including Central Africa where this parasite is endemic.
To be infected just dive in waters infested by worms. The symptoms of urinary schistosomiasis are progressive, initially being urinary such as frequency, hematuria, dysuria.
Subsequently, the infection spreads and produces granulomas, polyps, fibroids and calcifications in the bladder wall.
Chronic evolution can lead to the formation of malignant tumors (cancer) of the bladder.
Other potential complications of urinary schistosomiasis are the frequent bacterial cystitis and inflammation of the fallopian tubes in women and prostate in men.
Case courtesy: Dr.ssa Luisa Coletta
2 article feature images from this case
18 public playlist include this case
- Core review by Dr Whitney Boyce ◉
- 4c_041 Infections of the Bladder, Prostate and Urethra by RAB Four
- 4 by Kentson Lee
- Uroradiology by Ramy Gamal El-Sayed Ayad
- YJL 2B GU by YJ Lee
- Abdomen by Dr Ali Basim
- Part 2 Uroradiology by Dr Hao Xiang
- WART ONLINE TEACHING_RENAL by Nathalie Falkner
- GU by Dr Ali Basim
- GK - Abdo - Bladder by GLK
- 4c_041 Infections of the Bladder, Prostate and Urethra by Dr Jash Agraval
- 9aug by Andrew Csillag
- KUB by Dr Sharbell Hashoul
- Common by Dr Abdullah Hajar
- GUT by Dr Shreyas
- GD: Hepatobiliary by Dr Gurjeet Dulku
- GU by Dr. Mohammed Ahmed Fahmy
- ABM Quiz by Dr Ali Basim