Schistosomiasis of the Appendix in a Tertiary Hospital in Northern Nigeria: A 22-Year Review

Background: Schistosomiasis is one of the neglected tropical diseases caused by a trematode, Schistosoma spp, and affects many systems in the body including the gastrointestinal tract. Schistosomiasis of the appendix is a well-recognized disease and presents as a chronic granulomatous inflammation....

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Main Authors: Saad A Ahmed, Umar Mohammed, Robert B Sanda, Jerry Makama, Mohammed S Shehu, Emmanuel A Ameh, Ahmed A Mayun
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2014-01-01
Series:Journal of Laboratory Physicians
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0974-2727.129085
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author Saad A Ahmed
Umar Mohammed
Robert B Sanda
Jerry Makama
Mohammed S Shehu
Emmanuel A Ameh
Ahmed A Mayun
author_facet Saad A Ahmed
Umar Mohammed
Robert B Sanda
Jerry Makama
Mohammed S Shehu
Emmanuel A Ameh
Ahmed A Mayun
author_sort Saad A Ahmed
collection DOAJ
description Background: Schistosomiasis is one of the neglected tropical diseases caused by a trematode, Schistosoma spp, and affects many systems in the body including the gastrointestinal tract. Schistosomiasis of the appendix is a well-recognized disease and presents as a chronic granulomatous inflammation. This study aims to document the frequency and pattern of distribution of schistosomal appendicitis in our environment. Materials and Methods: This is a retrospective histopathological review of schistosomiasis of the appendix in the Department of Pathology, Ahmadu Bello University Teaching Hospital, Zaria - Nigeria, between January 1, 1991 to December 31, 2012. Results: Within the study period, there were 1,464 appendectomy specimens histologically examined in the Pathology Laboratory. Thirty of these, representing 2.1%, were diagnosed as schistosomiasis of the appendix. The male:female ratio was 6.5:1 and peak age incidence was in the 20-29 years age group. Abdominal pains, vomiting and fever were seen in 23 (76.7%) and altered bowel motion in seven (23.3%) patients. Conclusion: This study showed that schistosomiasis of the appendix is not rare and that its presentation is similar to other forms of appendicitis. There is a need to focus on the prevention of schistosomiasis in order to reduce morbidity among these economically viable age groups.
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spelling doaj.art-6043bddad55049878d06fb80430ba3222022-12-21T18:51:17ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Laboratory Physicians0974-27270974-78262014-01-0160101802110.4103/0974-2727.129085Schistosomiasis of the Appendix in a Tertiary Hospital in Northern Nigeria: A 22-Year ReviewSaad A Ahmed0Umar Mohammed1Robert B Sanda2Jerry Makama3Mohammed S Shehu4Emmanuel A Ameh5Ahmed A Mayun6Department of Pathology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, NigeriaDepartment of Pathology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, NigeriaDepartment of Surgery, Acute Care and Emergency Surgical Service, Peter Lougheed Center, Calgary General Hospital, Calgary, AB, CanadaDepartment of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, NigeriaDepartment of Pathology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, NigeriaDepartment of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, NigeriaDepartment of Pathology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, NigeriaBackground: Schistosomiasis is one of the neglected tropical diseases caused by a trematode, Schistosoma spp, and affects many systems in the body including the gastrointestinal tract. Schistosomiasis of the appendix is a well-recognized disease and presents as a chronic granulomatous inflammation. This study aims to document the frequency and pattern of distribution of schistosomal appendicitis in our environment. Materials and Methods: This is a retrospective histopathological review of schistosomiasis of the appendix in the Department of Pathology, Ahmadu Bello University Teaching Hospital, Zaria - Nigeria, between January 1, 1991 to December 31, 2012. Results: Within the study period, there were 1,464 appendectomy specimens histologically examined in the Pathology Laboratory. Thirty of these, representing 2.1%, were diagnosed as schistosomiasis of the appendix. The male:female ratio was 6.5:1 and peak age incidence was in the 20-29 years age group. Abdominal pains, vomiting and fever were seen in 23 (76.7%) and altered bowel motion in seven (23.3%) patients. Conclusion: This study showed that schistosomiasis of the appendix is not rare and that its presentation is similar to other forms of appendicitis. There is a need to focus on the prevention of schistosomiasis in order to reduce morbidity among these economically viable age groups.http://www.thieme-connect.de/DOI/DOI?10.4103/0974-2727.129085appendicitisnigeriaschistosomiasis
spellingShingle Saad A Ahmed
Umar Mohammed
Robert B Sanda
Jerry Makama
Mohammed S Shehu
Emmanuel A Ameh
Ahmed A Mayun
Schistosomiasis of the Appendix in a Tertiary Hospital in Northern Nigeria: A 22-Year Review
Journal of Laboratory Physicians
appendicitis
nigeria
schistosomiasis
title Schistosomiasis of the Appendix in a Tertiary Hospital in Northern Nigeria: A 22-Year Review
title_full Schistosomiasis of the Appendix in a Tertiary Hospital in Northern Nigeria: A 22-Year Review
title_fullStr Schistosomiasis of the Appendix in a Tertiary Hospital in Northern Nigeria: A 22-Year Review
title_full_unstemmed Schistosomiasis of the Appendix in a Tertiary Hospital in Northern Nigeria: A 22-Year Review
title_short Schistosomiasis of the Appendix in a Tertiary Hospital in Northern Nigeria: A 22-Year Review
title_sort schistosomiasis of the appendix in a tertiary hospital in northern nigeria a 22 year review
topic appendicitis
nigeria
schistosomiasis
url http://www.thieme-connect.de/DOI/DOI?10.4103/0974-2727.129085
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