Caecal Schistosomiasis with Perforation: A Case Report at the Korle-Bu Teaching Hospital Accra Ghana

Background: Caecal perforation commonly occurs in elderly patients with caecal neoplasms or distal obstructions. Case presentation: We report a case of caecal schistosomiasis with spontaneous perforation in a 40 year old taxi driver in Accra Ghana, who presented with symptoms of acute abdomen. He had emergency laparotomy and right hemicolectomy. Findings at surgery were caecal tumour with perforation at the base and faecal peritonitis. Pathological examination revealed chronic granulomatous response to schistosoma ova with bowel wall necrosis and perforation. Conclusions: Right iliac fossa pain is a common symptom of acute appendicitis, especially in young patients. However, in rare cases it can reflect other pathology which is easy to miss-diagnose as in this case.