PDF(Pubmed)
Abstract：
BACKGROUND: 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.
METHODS: 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.
CONCLUSIONS: 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.
METHODS: 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.
CONCLUSIONS: 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.
摘要：
背景：血吸虫病是许多发展中国家的地方性寄生虫病之一。尽管如此,即使在某些流行地区，血吸虫病继发的阑尾炎也是一种罕见的疾病。血吸虫阑尾炎,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，包括阑尾切除术和抗蠕虫疗法,是至关重要的。
方法：一名24岁的苏丹男性患者出现腹痛。诊断为急性阑尾炎，他做了阑尾切除术,显示阑尾炎症与血吸虫卵的组织病理学。腹部超声检测无并发症。注意到血吸虫血清学弱阳性，但粪便和尿液分析显示没有感染证据。处方吡喹酮,患者术后3年随访,无并发症.
结论：本病例报告强调了在阑尾炎的鉴别诊断中包括血吸虫病的重要性，特别是在疾病流行的地区。它强调了组织病理学评估对准确诊断的必要性，强调在类似环境中对临床实践的潜在影响。
方法：一名24岁的苏丹男性患者出现腹痛。诊断为急性阑尾炎，他做了阑尾切除术,显示阑尾炎症与血吸虫卵的组织病理学。腹部超声检测无并发症。注意到血吸虫血清学弱阳性，但粪便和尿液分析显示没有感染证据。处方吡喹酮,患者术后3年随访,无并发症.
结论：本病例报告强调了在阑尾炎的鉴别诊断中包括血吸虫病的重要性，特别是在疾病流行的地区。它强调了组织病理学评估对准确诊断的必要性，强调在类似环境中对临床实践的潜在影响。
