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Schistosomal appendicitis in Kuwait A5-year study.

Fawaz Abo-Alhassan1, Fatemah Faras2, Yousef M Malek3

  • 1Department of Surgery, Al-Adan Hospital, Ministry of Health, State of Kuwait, P.O. Box 12244, Kuwait.

International Journal of Surgery Case Reports
|October 23, 2016
PubMed
Summary
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Appendicular schistosomiasis, a rare cause of appendicitis, was identified in 8 Egyptian males in Kuwait. Histological examination is crucial for diagnosis and preventing complications from this parasitic infection.

Area of Science:

  • Parasitology
  • Gastroenterology
  • Pathology

Background:

  • Appendicular schistosomiasis is an uncommon cause of acute appendicitis, prevalent in endemic regions but increasingly diagnosed globally.
  • Globalization facilitates the spread of schistosomiasis, leading to its detection in non-endemic countries like Kuwait, which has a significant expatriate population.

Purpose of the Study:

  • To investigate the occurrence and clinicopathological features of schistosomal appendicitis in Kuwait.
  • To highlight the importance of histological evaluation in diagnosing this rare condition.

Main Methods:

  • A retrospective review of appendectomy records from Al-Adan Hospital, Kuwait, between January 2007 and December 2011.
  • Histopathological slides of all identified cases of schistosomal appendicitis were re-examined by a histopathologist.
Keywords:
Acute appendicitisKuwaitSchistosomal appendicitisSchistosomiasisSurgery

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Main Results:

  • Out of 3012 appendectomies, 8 cases of schistosomal appendicitis were identified.
  • All affected patients were Egyptian males, aged 24-42 years, presenting with suspected acute appendicitis.
  • Histological analysis revealed acute or acute suppurative inflammation with schistosome ova in the appendicular wall vasculature.

Conclusions:

  • Schistosomiasis is a rare but important cause of acute appendicitis, necessitating histological confirmation.
  • Postoperative follow-up is essential to ensure disease eradication and prevent severe sequelae.