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.