Appendicular schistosomiasis: a cause of clinical acute appendicitis?

Satti, Mohamed B.; Tamimi, Dm; Sohaibani, Mohammad O. Al; Al-Quorain, Abdulaziz

doi:10.1136/jcp.40.4.424

Cited by 53 publications

(36 citation statements)

References 8 publications

(1 reference statement)

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“…However, the exact contribution of schistosomiasis to symptoms of acute appendicitis in endemic areas remains unsettled. This is because schistosomiasis in the appendix is most often seen as calcified ova or fibrosed granuloma which are largely interpreted as 'incidental findings' [10,11].…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy in Appendicitis: A Histopathological Study

Sathar

Junaid²

2001

Med Princ Pract

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Objective: Although appendicectomy accounts for the highest number of unnecessary surgical procedures, there is little information on the accuracy of the procedure in Kuwait. Therefore, the objective of this study was to determine the accuracy of pre-operative diagnosis of acute appendicitis and the influence of age, gender and surgical personnel on the rate of normal appendicectomy. Materials and Methods: A retrospective histopathological review of specimens involving ‘acute appendicitis’ in the surgical pathology files of the Mubarak Al-Kabeer Hospital, Kuwait in 1982–1986 and 1992–1996 was carried out. The diagnostic accuracy (DA) was defined as the proportion of specimens in which an inflamed appendix was confirmed microscopically and the negative appendicectomy rate (NAR) was the proportion of appendices that were microscopically normal. Results: The DA was 80 and 84% for 1982–1986 and 1992–1996, respectively. There was a marked decline in the number of females in the second period from 42 to 30%. Females, who accounted for 36% of all cases, comprised 61% of normal appendicectomies with the highest NAR in the 20- to 29-year age group (23.7%). The NAR decreased in the second period from 18.4 to 12.4%. Conclusion: The results show that the clinical diagnostic accuracy of appendicitis in Mubarak Al-Kabeer Hospital is consistent with reports from several centres. However, auditing with routine histopathological examination is still necessary to improve clinical evaluation, particularly in females, many of whom are still subjected to the risks of unnecessary laparotomy.

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Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy in Appendicitis: A Histopathological Study

Sathar

Junaid²

2001

Med Princ Pract

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“…Of the 34 cases, 23 (65.7%) showed evidence of recent inflammation based on Satti et al criteria (7). Out of these, seventeen had infiltration of the wall by acute inflammation (Figure 1) with associated peritonitis (± perforation) in some cases while the remaining six had evidence of active granulomatous inflammation.…”

Section: Figure 2 Section Shows Appendix With Calcified Schistosomal mentioning

confidence: 99%

“…The biodata of the cases were extracted from the request cards. We adapted the histopathological criteria used by Satti et al (7), in which the cases were divided into three groupsschistosomal obstructive acute appendicitis, schistosomal granulomatous acute appendicitis and schistosomal appendicitis with neither active granulomas nor purulent exudates. This method is based on the presence or absence of active granulomatous inflammation or purulent exudates in the lumen and/or the wall.…”

Section: Methodsmentioning

confidence: 99%

“…However, the role of schistosomal infestation in the cause of acute appendicitis is still debatable. Over the years, a number of case reports and case series have suggested that the infestation is a cause of acute appendicitis (5)(6)(7). But the relatively low incidence of acute appendicitis as a disease in areas highly endemic for schistosomiasis has cast doubt on this assertion (1,8).…”

Section: Introductionmentioning

confidence: 99%

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Schistosomiasis presenting as acute appendicitus

Badmos

Ao²,

Rotimi³

2007

E Af Med Jrnl

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Background: Schistosomiasis is a chronic granulomatous inflammation that affects many systems in the body including the gastrointestinal tract. This study was carried out by reviewing all cases of schistosomal appendicitis, and documents any association with acute appendicitis. Conclusion:This finding has demonstrated that though the frequency of appendix involvement is low considering the endemicity of schistosomiasis in our environment, however acute appendicitis may be caused by schistosomiasis.

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“…Gastrointestinal manifestations, mainly caused by deposition of S. mansoni eggs in the gut wall, are the most common. Indeed, 1-2% of appendectomy specimens have been reported to contain schistosomes in endemic areas [3]. Hepatosplenic schistosomiasis is the most severe form, representing a common cause of non-cirrhotic portal hypertension, associated with a significant mortality [4].…”

Section: Introductionmentioning

confidence: 99%

Granulomatous cholecystitis in a patient with schistosoma mansoni infection: A case report

Manes¹,

Chatzimargaritis²,

Apessou³

et al. 2014

IJCRI

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Introduction: Schistosomal cholecystitis is remarkably uncommon. Almost all of the reported cases in literature, less than eleven universally, are associated with concomitant gallstone disease. It is unclear whether the extensive fibrocalcific reaction of the bladder`s wall and the cystic duct, seen in all cases, predisposes to cholelithiasis, or gallstones coexist. Case report: We report a Greek patient who developed schistosomal granulomatous lithiasic cholecystitis, which is unique in Greek medical chronicles. Performing a safe cholecystectomy in this patient was extremely difficult due to badly inflamed gallbladder. Conclusion: Schistosoma infection is associated with chronic granulomatous inflammation making cholecystectomy difficult and unsafe. In this article, we focus especially on prevention of bile duct injury by being prepared that a patient with a possible schistosomal cholecystitis will present with a complicated case.

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Appendicular schistosomiasis: a cause of clinical acute appendicitis?

Cited by 53 publications

References 8 publications

Diagnostic Accuracy in Appendicitis: A Histopathological Study

Diagnostic Accuracy in Appendicitis: A Histopathological Study

Schistosomiasis presenting as acute appendicitus

Granulomatous cholecystitis in a patient with schistosoma mansoni infection: A case report

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