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Schistosomiasis Mansoni Complicated by Portal Hypertension

Schistosomiasis Mansoni Complicated by Portal Hypertension Abstract SCHISTOSOMIASIS mansoni and its late complications of portal hypertension with esophageal varices, and congestive splenomegaly with secondary hypersplenism have been well-documented in the literature.1-6 The large numbers of patients presenting with this symptom complex in areas where the disease is endemic have led to the careful description of its pathogenesis, diagnosis, and surgical management. Although the disease has not been endemic in the United States, the frequency and ease of present-day world travel, coupled with the large influx of people into the United States from endemic areas such as Puerto Rico, require an awareness of the disease entity, and a knowledge of its proper management by American physicians. Report of Case This 36-year-old Puerto Rican man presented himself to the emergency room of Passavant Memorial Hospital with a chief complaint of a dull aching pain in the left upper abdomen. The patient had considered himself well until a week References 1. Abdalla, P.: Surgical Treatment of Portal Hypertension Due to Schistosomiasis , Surgery 57:680 ( (May) ) 1965. 2. Andrade, Z. A.; Santana, S., Jr.; and Rubin, E.: Hepatic Changes in Advanced Schistosomiasis , Gastroenterology 42:393, 1962. 3. Diaz-Rivera, R.S.: The Pathogenesis of Mansoni's Schistosomiasis , Ann Intern Med 47:1082 ( (Dec) ) 1957.Crossref 4. Hsi-Ch'un, L.; Yas-lin, K.; and Yu, C.: Surgical Treatment of Late Schistosomiasis , Chin Med J 81:176 ( (March) ) 1962. 5. Lichtenberg, F.: Lesions of the Intrahepatic Portal Radicles in Mansoni's Schistosomiasis , Amer J Path 31:757 ( (July) ) 1955. 6. Warren, K.S.; Reboucas, G.; and Baptista, A.G.: Ammonia Metabolism and Hepatic Coma in Hepatosplenic Schistosomiasis: Patients Studied Before and After Portacaval Shunt , Ann Intern Med 62:1113 ( (June) ) 1964.Crossref 7. Kirsh, M.M.; Cores, H.; and Zuidema, G.D.: Evaluation of the Oral Fructose Test , Arch Surg 89:508 ( (Sept) ) 1964.Crossref 8. Linton, R.R.: Selection of Patients for Portacaval Shunts With Summary of Results in 61 Cases , Ann Surg 134:433, 1951.Crossref 9. Clatworthy, W.H., Jr.,and Boles, E.T., Jr.: Extrahepatic Portal Bed Block in Children; Pathogenesis and Treatment , Ann Surg 150:371, 1961.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Schistosomiasis Mansoni Complicated by Portal Hypertension

Archives of Surgery , Volume 92 (2) – Feb 1, 1966

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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1966.01320200151026
Publisher site
See Article on Publisher Site

Abstract

Abstract SCHISTOSOMIASIS mansoni and its late complications of portal hypertension with esophageal varices, and congestive splenomegaly with secondary hypersplenism have been well-documented in the literature.1-6 The large numbers of patients presenting with this symptom complex in areas where the disease is endemic have led to the careful description of its pathogenesis, diagnosis, and surgical management. Although the disease has not been endemic in the United States, the frequency and ease of present-day world travel, coupled with the large influx of people into the United States from endemic areas such as Puerto Rico, require an awareness of the disease entity, and a knowledge of its proper management by American physicians. Report of Case This 36-year-old Puerto Rican man presented himself to the emergency room of Passavant Memorial Hospital with a chief complaint of a dull aching pain in the left upper abdomen. The patient had considered himself well until a week References 1. Abdalla, P.: Surgical Treatment of Portal Hypertension Due to Schistosomiasis , Surgery 57:680 ( (May) ) 1965. 2. Andrade, Z. A.; Santana, S., Jr.; and Rubin, E.: Hepatic Changes in Advanced Schistosomiasis , Gastroenterology 42:393, 1962. 3. Diaz-Rivera, R.S.: The Pathogenesis of Mansoni's Schistosomiasis , Ann Intern Med 47:1082 ( (Dec) ) 1957.Crossref 4. Hsi-Ch'un, L.; Yas-lin, K.; and Yu, C.: Surgical Treatment of Late Schistosomiasis , Chin Med J 81:176 ( (March) ) 1962. 5. Lichtenberg, F.: Lesions of the Intrahepatic Portal Radicles in Mansoni's Schistosomiasis , Amer J Path 31:757 ( (July) ) 1955. 6. Warren, K.S.; Reboucas, G.; and Baptista, A.G.: Ammonia Metabolism and Hepatic Coma in Hepatosplenic Schistosomiasis: Patients Studied Before and After Portacaval Shunt , Ann Intern Med 62:1113 ( (June) ) 1964.Crossref 7. Kirsh, M.M.; Cores, H.; and Zuidema, G.D.: Evaluation of the Oral Fructose Test , Arch Surg 89:508 ( (Sept) ) 1964.Crossref 8. Linton, R.R.: Selection of Patients for Portacaval Shunts With Summary of Results in 61 Cases , Ann Surg 134:433, 1951.Crossref 9. Clatworthy, W.H., Jr.,and Boles, E.T., Jr.: Extrahepatic Portal Bed Block in Children; Pathogenesis and Treatment , Ann Surg 150:371, 1961.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Feb 1, 1966

References