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血吸虫病继发非典型穿孔性阑尾炎:一例罕见病例报告

Atypical perforated appendicitis secondary to schistosomiasis: a rare case report.

作者信息

Osoble Osman Faisal Abdi, Mohamed Yahye Garad, Salad Najib Mohamed, Yahye Nuh Mohamed

机构信息

Radiology Department.

General Surgery Department.

出版信息

Ann Med Surg (Lond). 2023 Dec 11;86(2):1052-1054. doi: 10.1097/MS9.0000000000001480. eCollection 2024 Feb.

Abstract

INTRODUCTION

Schistosomiasis is the second most common parasite disease after malaria and a rare cause of appendicitis. It has been well-documented in the literature that schistosomiasis infection can have several multisystem effects. The unusual condition known as schistosomal appendicitis was initially described by Turner.

CASE PRESENTATION

We present a 48-year-old man with perforated appendicitis and schistosomiasis-like radiological findings. An appendectomy was performed, and schistosomiasis was confirmed by a histological study of the excised appendix. Praziquantel was administered in a single dosage.

CONCLUSION

Although schistosomiasis is a rare cause of appendicitis and is very prevalent in developing nations, it should be considered when managing the condition. Anti-shistosoma drugs, which are not frequently used in post-appendectomy cases, should also be considered in the management.

摘要

引言

血吸虫病是仅次于疟疾的第二大常见寄生虫病,也是阑尾炎的罕见病因。文献中已有充分记载,血吸虫病感染可产生多种多系统影响。特纳最初描述了一种名为血吸虫性阑尾炎的特殊病症。

病例介绍

我们报告一名48岁男性,患有穿孔性阑尾炎且有类似血吸虫病的影像学表现。进行了阑尾切除术,切除的阑尾组织学研究证实为血吸虫病。给予单剂量吡喹酮。

结论

尽管血吸虫病是阑尾炎的罕见病因,且在发展中国家非常普遍,但在处理该病症时应予以考虑。在管理过程中还应考虑使用抗血吸虫药物,这类药物在阑尾切除术后病例中并不常用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5eb4/10849306/c9ca281c3d23/ms9-86-1052-g001.jpg

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