Schistosomal appendicitis in the Eastern Province of Saudi Arabia: A clinicopathological study
| Autor: | Ramadhan A. Gomaa, Abdul-Salam Al-Joaib, C.J. Chandrashekar, Abdul-Wahed N. Meshikhes, Osama Al-Saif, Qassim H. Al-Daolah, Saed S. Al-Habib |
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| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
integumentary system business.industry General surgery MEDLINE Histological finding Schistosomiasis General Medicine medicine.disease digestive system digestive system diseases Appendicitis Appendix Surgery surgical procedures operative medicine.anatomical_structure parasitic diseases Acute appendicitis medicine business |
| Zdroj: | Annals of Saudi medicine. 19(1) |
| ISSN: | 0256-4947 |
| Popis: | In cases of schistosomiasis, the appendix is commonly infested. It is not known if this is a predisposing factor for appendicitis, or a mere coincidental histological finding.A total of 56 patients (51 males and 5 females) underwent appendectomy for schistosomal appendicitis over a 10-year period at Dammam Central Hospital. The histological slides of 41 of the patients (73.2%) were retrospectively studied.The highest incidence of schistosomal appendicitis was recorded in the 21-40-year age group. Ova were seen in the submucosal layers of all the excised appendices. The most common tissue responses were submucosal fibrosis (92.7%) and eosinophilia (87.8%), followed by the presence of suppurative inflammation (80.5%). Granulomatous reaction was evident in only 13 cases (31.7%). A striking feature was atrophy of submucosal lymphoid follicles in 70.7% of the cases. Hyperplasia of lymphoid follicles and serosal granulomas were rare (2.4%). Similar tissue responses were histologically seen in four normal appendices examined.Appendiceal infestation may predispose to appendicitis in the majority of affected cases, but in others, it may well be a mere coincidental histological finding. However, preoperative knowledge bears no clinical significance and does not alter management. |
| Databáze: | OpenAIRE |
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