Subscribe to RSS
DOI: 10.1055/s-0043-1777860
Expecting the Unexpected: Schistosomial Appendicitis in Nonendemic Area
Funding and Sponsorship None.
Abstract
Background Schistosomiasis is a granulomatous disease prevalent in tropical and subtropical areas. Appendicitis secondary to schistosomiasis is a rarely encountered presentation, even in endemic areas. Most acute intestinal schistosomiasis presents with abdominal pain and bloody diarrhea. Other atypical clinical presentations include intestinal obstruction, peritonitis, and acute appendicitis.
Case Description We report a case of a 37-year-old male from the Philippines who presented with the clinical picture of acute appendicitis and was treated with laparoscopic appendectomy. Pathological study revealed calcified Schistosomia japonicum's egg in a background of acute inflammation.
Conclusion Worldwide increase in immigration and tourism resulted in an increased number of schistosomiasis in nonendemic areas. Considering this, we are faced with the uncommon etiology of acute appendicitis.
Patient Consent
The authors confirm that they had the patient's consent for publication. The full report is based on an anonymized presentation, and the patient's identity is protected.
Authors' Contributions
All named authors contributed to the clinical care of the patient, the preparation of the case report, and its revision and finalization.
Compliance with Ethical Principles
No prior ethical approval is required for single cases.
Publication History
Article published online:
09 January 2024
© 2024. The Libyan Biotechnology Research Center. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Abebe K, Abebe M, Abebe E. Schistosomal peritonitis presenting as acute abdomen: a case report. Ethiop J Health Sci 2019; 29 (06) 783-785
- 2 Ahmed SA, Mohammed U, Sanda RB. et al. Schistosomiasis of the appendix in a tertiary hospital in northern Nigeria: a 22-year review. J Lab Physicians 2014; 6 (01) 18-21
- 3 Aldossary MY, Almabyouq F, Mashhour M. et al. Schistosomal appendicitis presenting as acute peritonitis: a case report and literature review. J Health Spec 2017; 5: 225-227
- 4 Olveda RM, Gray DJ. Schistosomiasis in the Philippines: Innovative control approach is needed if elimination is the goal. Trop Med Infect Dis 2019; 4 (02) 66-71
- 5 Chitsulo L, Loverde P, Engels D. Schistosomiasis. Nat Rev Microbiol 2004; 2 (01) 12-13
- 6 Turner SA. Bilharziasis of the appendix. Trans Med J 1909; 5: 210-212
- 7 Khan GM, Grillo IA, Abu-Eshy SA, Khan AR, Mubarak J, Jastaniah S. Pathology of the appendix. J Natl Med Assoc 2000; 92 (11) 533-535
- 8 Abo-Alhassan F, Faras F, Malek YM, Joneja M, Dhar PM. Schistosomal appendicitis in Kuwait A5-year study. Int J Surg Case Rep 2016; 28: 303-309
- 9 Helmy AH, Shousha TA, Magdi M. et al. Appendicitis; appendicectomy and the value of endemic parasitic infestation. Egypt J Surg 2000; 19 (02) 87-91
- 10 Terada T. Schistosomal appendicitis: incidence in Japan and a case report. World J Gastroenterol 2009; 15 (13) 1648-1649
- 11 Tang DCW, Sung THT, Lam MW. et al. Computed tomography detection of schistosomal appendicitis. Hong Kong J Radiol. 2014; 17: 277-280
- 12 Elazary R, Maly A, Khalaileh A. et al. Schistosomiasis and acute appendicitis. Isr Med Assoc J 2005; 7 (08) 533-534
- 13 Li JXJ, Fan HS. Schistosomal appendicitis: a rare cause of a common surgical condition. J Surg Case Rep 2023; 2023 (04) rjad188