Case report details perforated cecal schistosomiasis in a 17-year-old male, suggesting parasitic consideration in abdominal emergencies.
Schistosomal cecum involvement is an extremely rare condition in endemic areas like Sudan. We report a 17-year-old male presenting with acute abdomen diagnosed preoperatively as perforated appendicitis. Emergency surgery revealed purulent peritonitis, a cecal mass, and a large cecal perforation and right hemicolectomy was done. Histopathology revealed viable schistosomal ova and granulomas in the cecum. Post-operative management included anthelmintic therapy. This case presented the third case of large bowel schistosomiasis in Sudan, emphasizing the need for a high index of suspicion for parasitic etiologies in acute abdominal surgical emergencies in endemic regions.
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Eldouma et al. (2026) studied this question.
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