Bilharzial appendicitis is a very rare condition. We report the case of a young 18-year-old adolescent admitted to the department for pain in the right iliac fossa in a febrile context, evolving for 8 days with a history of terminal hematuria. After an abdominal ultrasound, the diagnosis of acute appendicitis was made. Treatment consisted of an appendectomy. The pathological examination revealed eggs of Schistosoma hematobium at the level of the appendicular wall. An antiparasitic treatment based on praziquantel was started. The postoperative course was simple.
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