Tropical Medicine & Surgery

Tropical Medicine & Surgery
Open Access

ISSN: 2329-9088


All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.


Schistosomiasis as a Cause of Acute Appendicitis in Non-Endemic Areas

Haya Malallah, Tasneem Al-Onaizi, Abdullah Shuaib, Khalid Alsharaf and Abdullah Behbehani

Schistosomiasis is one of the most widespread parasitic diseases in the world. There are about 200 million people infected worldwide, 85% of whom are concentrated south of the Sahara in Africa. Appendicular schistosomiasis was first reported by Turner in 1909. It remains rare in non-endemic areas. The reported incidence rate of appendicular schistosomiasis in non-endemic areas is 0.001% and is due to traveling and labor migration. We report a case of a 29-year-old Egyptian gentleman who presented with a clinical picture of acute appendicitis and underwent a laparoscopic appendectomy. He was diagnosed histologically and post-operatively with a schistosomiasis of the appendix. The pathogenesis of appendicular schistosomiasis could be through two pathogenic pathways: granulomatous or obstructive. Treatment with appendectomy and anti-helminthic therapy are adequate to limit further extensive disease or chronic complications.