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Case Reports in Infectious Diseases
Volume 2012 (2012), Article ID 896820, 4 pages
http://dx.doi.org/10.1155/2012/896820
Case Report

Intestinal Schistosomiasis as Unusual Aetiology for Acute Appendicitis, Nowadays a Rising Disease in Western Countries

1General Surgery Department, Clinic University Hospital of Valladolid, Level 3, 47011 Valladolid, Spain
2Histology Department, Vall d'Hebron University Hospital, Histology Department Building, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain
3General Surgery Department, Vall d'Hebron University Hospital, Level 4, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain

Received 6 March 2012; Accepted 9 May 2012

Academic Editors: P. Agnamey, D. L. Palazzi, A. C. Sena, and T. Shibata

Copyright © 2012 I. López de Cenarruzabeitia et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intestinal schistosomiasis as unusual aetiology for acute appendicitis, nowadays a rising disease in western countries. Recent changes in global migration has led to an immigration growth in our scenario, upsurging people coming from endemic areas of schistosomiasis. Schistosomal appendicitis, seldom reported in developed countries, is now an expected incrising entity in our hospitals during the near future. Due to this circumstances, we believe that schistosomiasis should be consider as a rising source for acute appendicitis in western countries. In order to illustrate this point, we present a case of a 45-years-old black man, from Africa, was admitted via A&E because of acute abdominal pain, located in right lower quadrant. Acute appendicitis was suspected, and he underwent laparotomy and appendectomy. Pathological study by microscope revealed a gangrenous appendix with abscesses and parasitic ova into the submucosal layer of the appendix, suggesting Schistosomiasis.