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Case Reports
. 2022 Jan-Mar;12(1):100-103.
doi: 10.4103/jwas.jwas_82_22. Epub 2022 Aug 23.

Appendiceal Schistosomiasis Presenting as an Appendiceal Mass

Stanley Emeka Nwabuoku  1 , George Duke Mukoro  1 , Muhammad Daniyan  2 , Muhammad Maigatari Dauda  2 , Lawal Khalid  2 , Halima Oziohu Aliyu  3 , Shuaibu M Shittu  4 , Stephen G Gana  2 , Aliu Suraj  1 , Emmanuel Idokoko  1 , Cosmas Okeke  1 , Lambert Iji  1 , Jimoh A Audu  1
Affiliations
Case Reports

Appendiceal Schistosomiasis Presenting as an Appendiceal Mass

Stanley Emeka Nwabuoku et al. J West Afr Coll Surg. 2022 Jan-Mar.

Abstract

Background: Schistosomiasis has been noted to be one of the most widespread parasitic diseases in the world. It is commonest in developing countries and 85% of the infections have been reported in Sub-Saharan Africa. Presentation with an appendiceal mass has been a rarity among the cases reported thus far.

Case presentation: We report the case of a 23-year-old man who presented with an appendiceal mass that responded to conservative treatment and had interval appendicectomy with histological confirmation of schistosomal appendicitis. He received post-operative medical therapy for schistosomiasis and had no sequelae thereafter.

Conclusion: Appendiceal mass from schistosomal appendicitis responds to initial conservative management, followed by interval appendicectomy and post-operative anti-schistosomal medications serving as adequate treatment subsequently.

Keywords: Appendiceal schistosomiasis; appendix mass; good outcome; interval appendicectomy; schistosomal treatment.

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Conflict of interest statement

The authors declare no conflict of interests.

Figures

Figure 1
Figure 1
Photomicrograph of the histology slides for the index patient showing the various layers of the appendix
Figure 2
Figure 2
Photomicrograph of the histology slides for the index patient with annotations showing the ova of S. haematobium and S. mansoni
See this image and copyright information in PMC

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