Schistosomal appendicitis is an uncommon manifestation of chronic schistosomiasis, typically resulting from egg-induced granulomatous inflammation and luminal obstruction. Although most cases are reported in endemic areas, delayed presentations in non endemic settings are increasingly recognised due to global migration. Hereby, the authors present a rare case of appendicitis with calcified schistosome eggs identified in the appendix of a 73-year-old female residing in the USA. While schistosomia