Schistosomal appendicitis presenting as acute peritonitis: A case report and literature review

Aldossary, Mohammed Yousef; Almabyouq, Fatimah; Mashhour, Miral; Hassan, Khairi

doi:10.4103/jhs.jhs_35_17

Cited by 3 publications

(5 citation statements)

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“…African series showed case report of a 30-year-old male UK resident originally from Ghana and a 25-year-old Egyptian male, both were admitted to an emergency with history of right iliac fossa pain and diagnosed of schistosomal appendicitis in United Kingdom and Saudi Arabia respectively. [12,13] This study confirmed that appendicitis can also be caused by schistosomiasis mostly in endemic African countries with isolated import cases in developed countries. Gastrointestinal involvement of schistosomiasis was reported in sigmoid colon 2 cases (7.7%) and rectum in 3 cases (11.5%).…”

Section: Discussionsupporting

confidence: 68%

Spectrum of Histopathological Diagnosis of Schistosomiasis as a Systemic Parasitic Infection in the North-West Nigeria

kabiru¹,

Wemimo²,

Umar³

et al. 2020

AJLM

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Introduction: Schistosomiasis is one of the neglected tropical diseases transmitted by freshwater snail in the slowmoving water of tropical rivers and ranks second among the most widespread parasitic disease in various nations in sub-Saharan Africa. Methodology: This is a 10-year retrospective study of all cases of schistosomiasis seen in the Department of Anatomic Pathology, Usmanu Danfodiyo University Teaching Sokoto between January 2008 and December 2017. All the cases of schistosomiasis diagnosed was retrieved from the surgical pathology register. The patients' biodata and symptoms was retrieved from patients' folder. The specimens were processed with 10% Neutral buffered formalin, stained with Haematoxylin and Eosin and reported by the pathologist at the study centre. The 2016 WHO classification of the urinary system and male genital organs were used to classify the tumours. Results: A hundred and fifty-nine patients were analysed with schistosomiasis of varying systems range from gastrointestinal, prostate, genitourinary and 38 cases of malignancies of the urinary bladder with associated schistosomiasis and prostate. In the gastrointestinal system, the appendiceal schistosomiasis accounted for 21(80.8%), rectum 3 (11.5%) and sigmoid colon 2 cases (7.7%). Benign prostatic hyperplasia with schistosomiasis accounted for 1 case (25.0%) while 3 cases (75.0%) of prostatic adenocarcinoma with schistosomiasis showed age range of 45 to 78 years. There are one hundred and eleven (111) cases of urinary bladder schistosomiasis which accounted for 86.0%, male to female ratio of 10:1 and age range from 9.0 to 78.0 years. There are 27 cases of invasive squamous cell carcinoma of the urinary bladder associated with schistosomiasis accounted for 65.8% while adenocarcinoma showed 4 cases (9.7%). Moderately differentiated SCC accounted for the largest degree of tumour differentiation associated with schistosomiasis accounted for 69.6%. Terminal haematuria is the most common symptom of urinary bladder schistosomiasis accounted for 102 cases (64.2%), followed by suprapubic abdominal pain 52 (32.5%), weight loss 30 (18.9%) for patients with malignancy Conclusion: Schistosomiasis is a public health disease in endemic regions in African countries with proper documentation on the its pathogenesis, risk factors and effective treatment and complications if left untreated. Thus, mobilization of appropriate resources to help the vulnerable in order to reduce morbidity and mortalities is very crucial.

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Section: Discussionsupporting

confidence: 68%

Spectrum of Histopathological Diagnosis of Schistosomiasis as a Systemic Parasitic Infection in the North-West Nigeria

kabiru¹,

Wemimo²,

Umar³

et al. 2020

AJLM

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“…Another theory is that an embolic event caused by the ovum leads to ischemia of the serosa and the formation of a perpendicular granulomatous reaction, ending with fibrosis. 2 3 4 5 6 7…”

Section: Discussionmentioning

confidence: 99%

“…Another theory is that an embolic event caused by the ovum leads to ischemia of the serosa and the formation of a perpendicular granulomatous reaction, ending with fibrosis. [2][3][4][5][6][7] A systematic review of the international literature demonstrated a total prevalence of 1.3%, while stratification by continents revealed a prevalence of 2.8% in Africa compared with 0.5% in the Middle East. By contrast, studies in nonendemic countries reveal a prevalence rate of 0.1 to 0.2%.…”

Section: Discussionmentioning

confidence: 99%

“…There are few cases of atypical presentation, such as intestinal obstruction, peritonitis, and acute appendicitis. 1 2 3…”

Section: Introductionmentioning

confidence: 99%

“…There are few cases of atypical presentation, such as intestinal obstruction, peritonitis, and acute appendicitis. [1][2][3] Despite its prevalence worldwide, schistosomiasis is a rarely encountered presentation, even in the endemic areas. 4 However, the United Arab Emirates is not considered an endemic area for the disease, although it is a multicultural country with immigrants from endemic regions.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Expecting the Unexpected: Schistosomial Appendicitis in Nonendemic Area

Aravessery,

Raza,

Azfar

2024

Ibnosina Journal of Medicine and Biomedical Sciences

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Background Schistosomiasis is a granulomatous disease prevalent in tropical and subtropical areas. Appendicitis secondary to schistosomiasis is a rarely encountered presentation, even in endemic areas. Most acute intestinal schistosomiasis presents with abdominal pain and bloody diarrhea. Other atypical clinical presentations include intestinal obstruction, peritonitis, and acute appendicitis. Case Description We report a case of a 37-year-old male from the Philippines who presented with the clinical picture of acute appendicitis and was treated with laparoscopic appendectomy. Pathological study revealed calcified Schistosomia japonicum's egg in a background of acute inflammation. Conclusion Worldwide increase in immigration and tourism resulted in an increased number of schistosomiasis in nonendemic areas. Considering this, we are faced with the uncommon etiology of acute appendicitis.

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Generalized peritonitis secondary to a ruptured schistosoma appendix: A case series

Umar,

Bello,

Emetuma

2023

Niger J Gastroenterol Hepatol

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Schistosomal appendicitis presenting as acute peritonitis: A case report and literature review

Cited by 3 publications

References 1 publication

Spectrum of Histopathological Diagnosis of Schistosomiasis as a Systemic Parasitic Infection in the North-West Nigeria

Spectrum of Histopathological Diagnosis of Schistosomiasis as a Systemic Parasitic Infection in the North-West Nigeria

Expecting the Unexpected: Schistosomial Appendicitis in Nonendemic Area

Generalized peritonitis secondary to a ruptured schistosoma appendix: A case series

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