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[Clinical Picture] Schistosomiasis detected during appendectomy

A 17-year-old German student with acute abdominal pain attended a regional hospital in northern Germany. During interview, he said that 2 weeks earlier his ejaculate had changed to a yellowish brown colour. Laboratory analysis showed leucocytosis (21·9 × 109 per L) with a marked eosinophilia (78%, 15·3 × 109 per L) and slightly elevated liver enzymes (alanine aminotransferase 101 U/L). An acute appendicitis was suspected and laparoscopic appendectomy was performed.