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Abstract
A CASE REPORT OF ACUTE APPENDICITIS DUE TO INTESTINAL SCHISTOSOMIASIS WITH A REVIEW OF THE LITERATURE
*Eke Barnabas, Ojo Babarinde, Bamidele Omolabake, Ugwu Victor, Akpor Issac, Ngbea Joseph, raymond Vhriterhire, Udu Comfort, Umabong Emanso and Ogiator Monday
ABSTRACT
Schistosomiasis is prevalent in tropical and subtropical regions of which Nigeria is considered as one. Schistosoma appendicitis is a rare manifestation of Schistosomiasis particularly in developed countries compared to endemic regions. Its diagnosis is usually made after histological examination of appendectomy specimen. In endemic regions, Schistosoma appendicitis should always be considered as a differential diagnosis for acute appendicitis, though seldom reported in developed countries, and with recent changes in global migration, schistosoma appendicitis should also be considered as one of the causes for appendicitis, especially for recent migrants in western countries. We present a case of a 43 year old woman with appendicitis due to intestinal schistosomiasis.She was first managed as a case of pelvic inflammatory diseases but not responsive to medication. A review by the surgical team changed the diagnosis to acute on chronic appendicitis. Its diagnosis was made after surgical pathology of the removed appendix.
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