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Schistosomal appendicitis.

S A Abu-Eshy1, G M Malik, A R Khan

  • 1College of Medicine, King Saud University-Abha Branch, Abha, and Department of Surgery, Asir Central Hospital, Abha, Saudi Arabia.

Annals of Saudi Medicine
|July 1, 1995
PubMed
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Schistosomiasis appendicitis (SA) is rare, affecting 1.3% of appendectomy specimens. Preoperative diagnosis is difficult, necessitating prompt histopathology review for early treatment in endemic areas.

Area of Science:

  • Pathology
  • Infectious Diseases
  • Gastroenterology

Background:

  • Schistosomiasis is a parasitic disease prevalent in endemic regions.
  • Acute appendicitis is a common surgical emergency.
  • Histopathological examination of appendix specimens is crucial for definitive diagnosis.

Purpose of the Study:

  • To determine the prevalence of schistosomiasis in appendectomy specimens.
  • To compare clinical and laboratory features of schistosomal appendicitis (SA) with non-schistosomal appendicitis (NSA).
  • To recommend strategies for improving diagnosis and treatment of SA.

Main Methods:

  • Retrospective analysis of 4708 consecutive appendectomy specimens over 6.5 years.
  • Histopathological review to identify cases of schistosomiasis.

Related Experiment Videos

  • Comparison of clinical and laboratory data between SA and NSA groups.

    • Main Results:

    • Schistosomiasis was found in 1.3% (64/4708) of appendectomy specimens.
    • SA patients were older, predominantly male, and had higher hemoglobin and lower leukocyte counts than NSA patients.
    • No reliable clinical or laboratory features could predict SA preoperatively.

    Conclusions:

    • Schistosomal appendicitis is often overlooked due to lack of specific preoperative indicators.
    • Prompt histopathology review and early treatment are essential for patients from schistosomiasis-endemic areas.
    • Improved patient tracing and treatment systems are recommended for infected individuals.