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Schistosomal peritonitis secondary to perforated appendicitis
Humphrey D Mazigo1, Geofrey C Giiti, Maria Zinga
1Department of Medical Parasitology and Entomology, Weill-Bugando University College of Health Sciences, Mwanza, Tanzania. umphreymazigo@gmail.com
Summary
Schistosoma mansoni infection can cause intestinal schistosomiasis. A rare case of schistosomal appendicitis with peritonitis was reported in Tanzania, with the patient recovering swiftly post-surgery.
Area of Science:
- Tropical medicine
- Parasitology
- Gastroenterology
Background:
- Schistosoma mansoni is endemic in Tanzania, causing intestinal schistosomiasis.
- Appendicitis is a common surgical emergency, but schistosomal appendicitis is exceptionally rare worldwide.
- Peritonitis is a serious complication of abdominal conditions.
Observation:
- A 33-year-old male patient presented with symptoms suggestive of appendicitis.
- The patient was diagnosed with schistosomal appendicitis complicated by peritonitis.
- This presentation is unusual given the rarity of schistosomal appendicitis globally.
Findings:
- The patient underwent surgery for the condition.
- Histopathological examination confirmed the presence of Schistosoma mansoni eggs in the appendix.
- Post-operative recovery was rapid and uneventful.
Implications:
- This case highlights the importance of considering parasitic infections in the differential diagnosis of appendicitis, even in endemic areas.
- It underscores the need for increased awareness of rare presentations of schistosomiasis.
- Early diagnosis and surgical intervention can lead to favorable outcomes in schistosomal appendicitis with peritonitis.
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