Appendicitis-like Clinical Image Elicited by Enterobius Vermicularis: Case Report and Review of the Literature
Autor: | V Meert, J P Gillardin, Ph Hofman, S Van Slycke, W Vleeschouwers |
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Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
business.industry General Medicine medicine.disease digestive system Dermatology digestive system diseases Appendix Appendicitis Resection medicine.anatomical_structure Appendiceal colic parasitic diseases Acute appendicitis Female patient medicine Surgery Enterobius business |
Zdroj: | Acta Chirurgica Belgica. 113:139-142 |
ISSN: | 0001-5458 |
Popis: | A 17-year-old female patient presented with the clinical features of an acute appendicitis. During laparoscopic exploration a macroscopically normal appendix was found. Since there were no intra-abdominal abnormalities found, the appendix was resected. Anatomopathology demonstrated Enterobius vermicularis, a pinworm infecting only humans, and mostly living in the caecum. This parasite is responsible for possibly the most common helminthic infection in the developed world. Its role in the pathogenesis of acute appendicitis is controversial, but more recent studies indicate a stronger association between enterobiasis and appendicitis. Often, enterobius mimics appendicitis by obstructing the lumen of the appendix, thereby causing appendiceal colic. This case report stresses the importance of microscopic examination of all appendectomy resection specimens. In case of enterobius infestation, systemic therapy of patient and family is necessary. |
Databáze: | OpenAIRE |
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