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Intraperitoneal Enterobius vermicularis infection: a case report.

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Ectopic Enterobius vermicularis (pinworm) can cause granulomatous nodules, mimicking other pelvic conditions. Awareness is key to avoid misdiagnosis and unnecessary surgery for this rare parasitic finding.

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Area of Science:

  • Parasitology
  • Gynecologic Pathology
  • Surgical Pathology

Background:

  • Ectopic Enterobius vermicularis is typically an incidental finding.
  • Rarely, pinworm infection can cause inflammation and symptoms.

Purpose of the Study:

  • To report a case of ectopic Enterobius vermicularis presenting as granulomatous peritoneal nodules.
  • To highlight the importance of recognizing this condition to prevent misdiagnosis.

Main Methods:

  • Histologic examination of nodules from the broad ligament and uterus.
  • Identification of Enterobius vermicularis ova within granulomatous lesions.

Main Results:

  • A 36-year-old woman presented with symptoms including menorrhagia and pelvic pain.
  • Histopathology confirmed granulomatous peritoneal nodules due to Enterobius vermicularis, containing ova.

Conclusions:

  • Ectopic Enterobius vermicularis can manifest as granulomatous lesions.
  • These lesions can mimic benign and malignant gynecologic conditions like leiomyoma, fibroma, endometrioma, or tuberculosis.
  • Recognizing this parasitic etiology is crucial to avoid unnecessary surgical interventions.