Rare cause of appendicitis: Mechanical obstruction due to Fasciolopsis buski infestation

doi:10.3748/wjg.v21.i10.3146

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World Journal of Gastroenterology

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1007-9327

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World J Gastroenterol. Mar 14, 2015; 21(10): 3146-3149
Published online Mar 14, 2015. doi: 10.3748/wjg.v21.i10.3146

Rare cause of appendicitis: Mechanical obstruction due to Fasciolopsis buski infestation

You-Hong Cao, Yi-Min Ma, Feng Qiu, Xiao-Qi Zhang

You-Hong Cao, Yi-Min Ma, Feng Qiu, Department of Gastroenterology, Nanjing Gaochun People’s Hospital, Nanjing 211300, Jiangsu Province, China

Xiao-Qi Zhang, Department of Gastroenterology, the Drum Tower Hospital Affiliated to Nanjing University, Nanjing 210000, Jiangsu Province, China

Author contributions: Cao YH, Ma YM contributed to the design of the study and discussion; Qiu F presented the clinical features; Cao YH and Zhang XQ wrote the paper.

Correspondence to: Xiao-Qi Zhang, Professor, Chief Physician, Department of Gastroenterology, the Drum Tower Hospital Affiliated to Nanjing University, 321 Zhongshan Road, Naijing 210000, Jiangsu Province, China. zhangxiaoqinj@163.com

Telephone: +86-25-57308520 Fax: +86-25-57301565

Received: July 31, 2014
Peer-review started: August 4, 2014
First decision: August 27, 2014
Revised: September 23, 2014
Accepted: November 18, 2014
Article in press: November 19, 2014
Published online: March 14, 2015
Processing time: 227 Days and 19.2 Hours

Abstract

This study aimed to improve the understanding of the clinical characteristics of patients with fasciolopsiasis and thus reduce misdiagnosis and inappropriate treatment. We retrospectively analyzed the clinical data of two patients with fasciolopsiasis which caused appendicitis. Fasciolopsis buski infestation as a cause of appendicitis is very rarely seen in the clinic. The clinical characteristics, clinical manifestations, diagnostic methods and the principles of treatment in these two patients were analyzed.

Keywords: Fasciolopsis buski; Appendicitis; Fasciolopsiasis; Misdiagnosis

Core tip: The incidence of Fasciolopsis buski infestation is low in modern society, and Fasciolopsis buski infestation as a cause of acute appendicitis is even rare. We describe two patients with appendicitis caused by Fasciolopsis buski infestation and summarize the diagnosis and treatment of the disease.