4 Conclusion and result:
Esophagogastroduodenoscopy revealed 2nd and 3rd grades esophageal varices with active hemorrhage, resulting in the patient’s referral to Ibn Sinna Hospital for the placement of a Sengstaken Blakemore tube for 12 hours. The patient subsequently underwent endoscopic sclerotherapy with 5% ethanolamine oleate twice, which helped improve his condition. A colonoscopy revealed a pale and atrophic colonic mucosa with no ulcers or polyps present. In addition to endoscopic sclerotherapy for the esophageal varices, the patient was treated with praziquantel (20mg/kg) orally, three times a day for one day, for S. mansoni infection, and albendazole (400mg) twice a day for three days for S. stercoralis infection. The patient’s condition improved and he was discharged from the hospital. During the follow up visits, repeated stool examinations for ova and rhabditiform larvae showed negative results, and over the following months, no relapse of hemorrhage occurred. This indicating full recovery of the patient.