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Schistosomiasis presenting as acute appendicitis.

K B Badmos1, A O Komolafe, O Rotimi

  • 1Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.

East African Medical Journal
|February 22, 2007
PubMed
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Schistosomiasis can cause acute appendicitis, even in low-frequency cases. This study reviewed appendectomy specimens, finding schistosomal appendicitis in 4.2% of cases, with many linked to inflammation.

Area of Science:

  • Gastroenterology
  • Parasitology
  • Pathology

Background:

  • Schistosomiasis is a parasitic disease causing chronic inflammation, often affecting the gastrointestinal tract.
  • Appendiceal involvement by schistosomiasis can mimic or contribute to acute appendicitis.

Purpose of the Study:

  • To review cases of schistosomal appendicitis.
  • To determine the association between schistosomiasis and acute appendicitis.

Main Methods:

  • Retrospective study of appendectomy specimens.
  • Reviewed 843 appendectomy specimens from 1991-2004.
  • Identified 35 cases of schistosomal appendicitis.

Main Results:

  • Schistosomiasis was found in 4.2% (35/843) of appendectomy specimens.

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  • Of the 35 cases, 65.7% (23/35) had concurrent acute appendicitis.
  • Schistosomal appendicitis was associated with submucosal fibrosis and lumen narrowing, leading to inflammation.

    • Conclusions:

    • Schistosomiasis is an infrequent but potential cause of acute appendicitis.
    • Early diagnosis and treatment are crucial in endemic areas.