An audit of 3374 appendectomy specimens in 2578 Saudi and 796 non-Saudi nat
ionals revealed a diagnosis rate of 74.7% of inflamed appendix, a normal ap
pendix range of 7.8% to 22.5% with the higher rate of normal appendix found
among females. The finding of high incidence of schistosomal appendicitis
among Egyptian males is not surprising given the high incidence of schistos
omiasis among Egyptians in general. The alternate diagnoses, which include
such conditions as neoplasm, mucocele, other inflammatory conditions such a
s periappendicitis, and parasitic infestations, are not different from find
ings in the reported literature.