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Schistosomal appendicitis in pregnancy.

N Halkic1, A Abdelmoumene, D Gintzburger

  • 1Service de Chirurgie, CHUV, 1011 Lausanne, Switzerland. Nermin.Halkic@chuv.hospvd.ch

Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
|July 20, 2002
PubMed
Summary

Acute appendicitis during pregnancy can be caused by parasitic infections like Schistosoma haematobium. This case highlights the link between schistosomiasis and appendicitis in pregnant individuals, even in non-endemic areas.

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Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Parasitology

Background:

  • Acute appendicitis is a frequent surgical emergency in pregnancy, typically bacterial.
  • Parasitic infections are rare causes of appendicitis, with Schistosoma haematobium being uncommon.
  • Schistosomiasis is prevalent in hyperendemic regions and can complicate pregnancies.

Observation:

  • Pregnancy-associated appendicitis due to Schistosoma haematobium infection is reported.
  • Schistosome eggs can cause inflammation in abdominal organs, including the appendix.
  • Pelvic vessel congestion during pregnancy may facilitate egg deposition and inflammation.

Findings:

  • A case of acute appendicitis in pregnancy caused by Schistosoma haematobium is presented.

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  • The study identifies a potential association between schistosomiasis and appendicitis in pregnant patients.
  • Inflammatory reactions are triggered by lodged schistosome egg masses.

    • Implications:

    • This association poses a diagnostic challenge for clinicians, especially with increased travel and migration.
    • Recognizing Schistosoma haematobium as a cause of appendicitis in pregnancy is crucial for appropriate management.
    • Public health awareness and diagnostic vigilance are necessary to address this parasitic complication.