López de Cenarruzabeitia I, Landolfi S, Armengol Carrasco M
General Surgery Department, Clinic University Hospital of Valladolid, Level 3, 47011 Valladolid, Spain.
Case Rep Infect Dis. 2012;2012:896820. doi: 10.1155/2012/896820. Epub 2012 Jun 26.
Intestinal schistosomiasis as unusual aetiology for acute appendicitis, nowadays a rising disease in western countries. Recent changes in global migration has led to an immigration growth in our scenario, upsurging people coming from endemic areas of schistosomiasis. Schistosomal appendicitis, seldom reported in developed countries, is now an expected incrising entity in our hospitals during the near future. Due to this circumstances, we believe that schistosomiasis should be consider as a rising source for acute appendicitis in western countries. In order to illustrate this point, we present a case of a 45-years-old black man, from Africa, was admitted via A&E because of acute abdominal pain, located in right lower quadrant. Acute appendicitis was suspected, and he underwent laparotomy and appendectomy. Pathological study by microscope revealed a gangrenous appendix with abscesses and parasitic ova into the submucosal layer of the appendix, suggesting Schistosomiasis.
肠道血吸虫病作为急性阑尾炎的罕见病因，如今在西方国家是一种日益增多的疾病。全球移民的近期变化导致我们地区移民增加，来自血吸虫病流行地区的人数激增。血吸虫性阑尾炎在发达国家很少有报道，现在在我们医院预计在不久的将来会成为一个日益增多的病例。鉴于这种情况，我们认为在西方国家，血吸虫病应被视为急性阑尾炎的一个日益增多的病因。为了说明这一点，我们介绍一例45岁的非洲黑人男性，因急性腹痛经急诊入院，腹痛位于右下腹。怀疑为急性阑尾炎，他接受了剖腹手术和阑尾切除术。显微镜下病理研究显示阑尾坏疽伴脓肿形成，阑尾黏膜下层有寄生虫卵，提示为血吸虫病。
