Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
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.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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
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.