Schistosomial Infestation and Histopathplogical Features to Patients Diagnosed as Acute Appendicitis

A. Al-Katib, Ali; A. N. Al-Shalah, Mohend; H. Al-Timimi, Ali

	Schistosomial Infestation and Histopathplogical Features to Patients Diagnosed as Acute Appendicitis
Kerbala Journal of Medicine
Article 7, Volume 3, Issue 7, 2010, Pages 910-913 PDF (0 K)
Authors
Ali A. Al-Katib; Mohend A. N. Al-Shalah; Ali H. Al-Timimi
Abstract
background: Schistosomial infestation is commonly infested the appendix. However it is not known if this- is a predisposing, factor for appendicitis, or a mere coincidental histological finding. Patients and methods: In the present study a total of 48 cases (40 males and 8 females) underwent appendectomy for schistosomal appendicitis over a 10-year period at Basrah and Hilla Teaching hospitals were studied. Their histological slides were reviewed carefully. Results: showed that 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 (93.8%) and eosinophilia (89.6%), followed by the presence of suppurative inflammation (75%). Granulomatous reaction was evident in 32 cases (66.6%),and commonly found in the serosa and submucosa. A feature of atrophy of submucosal lymphoid follicles was noted in 48% of the cases and hyperplasia in 44%. most.. Similar tissue responses were histologically seen in three normal appendices examined. Conclusion: 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.

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