General Surgery Specialist, Department of Surgery, Al-Amal Hospital, Khartoum, Sudan.
Department of Pathology, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
J Med Case Rep. 2024 Jun 19;18(1):283. doi: 10.1186/s13256-024-04610-3.
Schistosomiasis is one of the endemic parasitic diseases in many developing countries. Despite this, appendicitis secondary to schistosomiasis is an uncommon condition even in some endemic areas. Schistosomal appendicitis, an incidentally discovered appendicitis associated with schistosomiasis histological findings, affects young males predominantly. Timely diagnosis and treatment, including appendectomy and anti-helminthic therapy, are crucial.
A 24-year-old Sudanese male patient presented with abdominal pain. Diagnosed with acute appendicitis, he underwent appendectomy, revealing appendix inflammation with Schistosoma ova in histopathology. Abdominal ultrasound detected no complications. Weakly positive Schistosoma serology was noted, but stool and urine analysis showed no infection evidence. Prescribed praziquantel, patient had 3-year post-op follow-up without complications.
This case report underscores the significance of including schistosomiasis in the differential diagnosis of appendicitis, particularly in regions where the disease is endemic. It underscores the necessity of histopathological evaluations for accurate diagnosis, emphasizing the potential implications for clinical practice in similar settings.
血吸虫病是许多发展中国家流行的寄生虫病之一。尽管如此，即使在一些流行地区，血吸虫病引起的阑尾炎也不常见。血吸虫性阑尾炎是一种偶然发现的与血吸虫病组织学发现相关的阑尾炎，主要影响年轻男性。及时诊断和治疗，包括阑尾切除术和驱虫治疗，至关重要。
一名 24 岁的苏丹男性患者出现腹痛。诊断为急性阑尾炎，行阑尾切除术，组织病理学显示阑尾炎症伴血吸虫卵。腹部超声检查未发现并发症。血清学检查发现血吸虫弱阳性，但粪便和尿液分析均未显示感染证据。给予吡喹酮治疗，患者术后 3 年随访无并发症。
本病例报告强调了在阑尾炎的鉴别诊断中应考虑到血吸虫病的重要性，特别是在疾病流行的地区。它强调了进行组织病理学评估以进行准确诊断的必要性，并强调了在类似环境下对临床实践的潜在影响。
