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DOI: 10.1055/s-0043-1777860
Expecting the Unexpected: Schistosomial Appendicitis in Nonendemic Area
Funding and Sponsorship None.![](https://www.thieme-connect.de/media/10.1055-s-00053247/202402/lookinside/thumbnails/10-1055-s-0043-1777860_23110001-1.jpg)
Abstract
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.
Patient Consent
The authors confirm that they had the patient's consent for publication. The full report is based on an anonymized presentation, and the patient's identity is protected.
Authors' Contributions
All named authors contributed to the clinical care of the patient, the preparation of the case report, and its revision and finalization.
Compliance with Ethical Principles
No prior ethical approval is required for single cases.
Publication History
Article published online:
09 January 2024
© 2024. The Libyan Biotechnology Research Center. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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