An unusual case of mesenteric schistosomiasis presenting as bowel obstruction in a child

Abstract

Mesenteric schistosomiasis is a rare but significant cause of intestinal obstruction, particularly in endemic regions. We report a case of a 12-year-old boy from Masese Landing Site, Uganda, who presented with progressive abdominal distension, vomiting, and constipation—symptoms indicative of bowel obstruction. Surgical exploration revealed extensive adhesions and nodular lesions, necessitating biopsies. Histopathological examination confirmed intestinal schistosomiasis caused by Schistosoma mansoni. This case highlights the need for heightened clinical awareness, early diagnosis, and prompt intervention in endemic areas to prevent complications of chronic schistosomiasis