A Case Report of an Appendicitis and Parasitosis

Abstract

Appendicitis is a common clinical problem but is not specific to a parasite. A 43-year-old patient consulted for digestive troubles, mostly acute abdominal pain, in the right part. Taenia saginata was found in appendectomy. Different parasites were found in the histopathological evaluation of the appendix, mostly Enterobius vermicularis, but also Ascaris, Taenia, amoeba, and Schistosoma. Acute appendicitis was proven by submucosal fibrosis, active suppurative inflammation, and active granulomas surrounding eggs or larvae of parasites. However, parasites were detected by chance in uninflamed and histologically normal appendices or appendices with chronic inflammation removed during other surgical procedures. The role of parasites in the pathogenesis of acute appendicitis is unclear. An adapted antiparasitic treatment is always necessary after appendectomy following finding parasites.

Schistosomal appendicitis: a case report

“…It is essential that patients with parasitic infestation receive the appropriate antiparasitic treatment before being discharged from hospital because the appendectomy is treated as a consequence and not the root of the disease. Antiparasitic therapy with praziquantel is used to treat the underlying schistosomiasis infection and prevent further complications [ 13 , 14 ]. Clinicians and pathologists should be aware of schistosomal appendicitis, particularly in regions where it is endemic, to facilitate early diagnosis and appropriate treatment.…”