The etiologic factors in acute appendicitis still remain vague and indefinite. Studies of its incidence, mortality, morbidity, age and sex distribution, complications, and possible etiology in native-born residents of Latin American countries have not been available to me except for those which refer to the role of Endamoeba histolytica as an etiologic factor. From all observations, I found that no previous study of this kind has been made for the Republic of Honduras. This paper presents further evidence that E. histolytica can and does produce clinical acute appendicitis.
From February, 1952, to December, 1954, I operated on 250 patients of all ages and both sexes for various general surgical conditions excepting thoracic lesions, certain highly specialized urological conditions, orthopedic complaints, and neurological disorders. Of these, 38 patients were operated on for appendicitis, an incidence of 15.2% in the total operative work. There were 24 females and 14 males; the oldest
MARK M. SCHAPIRO. Appendicitis in HondurasThe Role of Endamoeba Histolytica in Its Production. AMA Arch Surg. 1955;71(2):185–190. doi:10.1001/archsurg.1955.01270140033005