Abstract
Perforation of a pseudo appendicular tumor of bilharzial origin (bilharzia) is a rare etiology of acute peritonitis. His diagnosis is histopathological. The existence of comorbid malaria and surgical pathology is frequent in having a positive thick drop with Schistosoma mansoni eggs in his stool. After 3 months, the patient is doing well. In conclusion, we recommend the histopathological analysis of the surgical specimen after appendectomy and the detection of haematozoa for malaria in any case of fever in a surgical environment.
Highlights
Open AccessAbdominal-surgical emergencies are dominated in Africa in the south of the Sahara by acute peritonitis [1]
Perforation of appendicular bilharzia in the free peritoneum causing acute peritonitis is an entity rarely cited in the literature
We report a rare case of acute peritonitis by perforation of an appendicular pseudotumor of bilharzia origin in the general surgery department of the CHU BSS in Kati
Summary
Abdominal-surgical emergencies are dominated in Africa in the south of the Sahara by acute peritonitis [1]. Perforation of appendicular bilharzia in the free peritoneum causing acute peritonitis is an entity rarely cited in the literature. -Primary peritonitis: These are due to a spontaneous mono-bacterial infection of the peritoneum of hematogenous origin or by translocation. They are linked to the spread of a localized abdominal infection or the perforation of digestive viscera. The main causes are dominated by appendicular perforations, typhoid, gastric ulcers and diverticular perforations These secondary peritonitis are associated with postoperative peritonitis by anastomotic laceration or by fistula. We report a rare case of acute peritonitis by perforation of an appendicular pseudotumor of bilharzia origin (bilharzia) in the general surgery department of the CHU BSS in Kati
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