CASE REPORTS

Appendiceal schistosomiasis presenting as an appendiceal mass

Stanley Emeka Nwabuoku¹, George Duke Mukoro¹, Muhammad Daniyan², Muhammad Maigatari Dauda², Lawal Khalid², Halima Oziohu Aliyu³, Shuaibu M Shittu⁴, Stephen G Gana², Aliu Suraj¹, Emmanuel Idokoko¹, Cosmas Okeke¹, Lambert Iji¹, Jimoh A Audu¹

¹Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
² Department of Surgery, Ahmadu Bello University and Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
³ Pathology Department, Ahmadu Bello University and Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
⁴ Department of Pathology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria

Correspondence Address:
Dr. Stanley Emeka Nwabuoku
Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State Nigeria

Source of Support: None
Conflict of Interest: None

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.