PT  - JOURNAL ARTICLE
AU  - Khurram Shahzad
AU  - Mohamed Elmedani
AU  - Smitha Mathew
AU  - Ioannis Peristerakis
TI  - Rare cause of right iliac fossa pain in a UK patient
AID  - 10.1136/bcr-2020-234694
DP  - 2020 Oct 01
TA  - BMJ Case Reports
PG  - e234694
VI  - 13
IP  - 10
4099  - http://casereports.bmj.com/content/13/10/e234694.short
4100  - http://casereports.bmj.com/content/13/10/e234694.full
SO  - BMJ Case Reports2020 Oct 01; 13
AB  - A 62-year-old Asian man presented with a 3-month history of right iliac fossa pain which had progressively worsened over the last 3 weeks. All blood parameters were found to be unremarkable except for mildly elevated erythrocyte sedimentation rate. CT imaging demonstrated thickening of the ascending colon and caecum. Colonoscopic biopsies showed submucosal granulomas with features suggestive of schistosomiasis and parasite serology was positive for Schistosoma antibodies. He was treated with praziquantel and showed subsequent symptomatic and radiological improvement. However, he represented nearly 2 years later and underwent a right hemicolectomy for small bowel obstruction. The resected bowel showed an inflammatory caecal mass and a terminal ileal adenocarcinoma.