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Is there a connection between paediatric acute idiopathic scrotal oedema and intestinal worm infestation?

Ilan Erez1, Eyal Zifman, Irena Nersesjanz

  • 1Department of Pediatric Surgery, Meir Medical Center, Kfar Saba Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. erezi@clalit.org.il

Journal of Paediatrics and Child Health
|October 20, 2011
PubMed

Insights

Children with acute idiopathic scrotal oedema (AISO) show a higher incidence of intestinal worm infestation (IWI). This study suggests a potential link between IWI and AISO in pediatric patients, warranting further investigation.

Area of Science:

  • Pediatric Surgery
  • Infectious Diseases
  • Urology

Background:

  • Acute idiopathic scrotal oedema (AISO) is a condition observed in children.
  • Intestinal worm infestation (IWI) is common in pediatric populations.
  • A potential association between AISO and IWI has been anecdotally observed.

Purpose of the Study:

  • To investigate the hypothesis that intestinal worm infestation (IWI) is more prevalent in children with acute idiopathic scrotal oedema (AISO) compared to the general pediatric population.
  • To explore a possible etiological factor for AISO.

Main Methods:

  • A retrospective questionnaire-based study was conducted.
  • Compared IWI frequency in children with AISO versus a matched control group (inguinal hernia surgery patients).
  • Data collected from Pediatric Surgery Department records between 2003-2009.

Main Results:

  • A significantly higher history of IWI was found in AISO patients (44.7%) compared to the control group (13.1%).
  • The difference in IWI incidence between the groups was statistically significant (P=0.0047).

Conclusions:

  • Acute idiopathic scrotal oedema (AISO) in children is frequently associated with a history of intestinal worm infestation (IWI).
  • This finding suggests a potential etiological role for IWI in AISO.
  • Further prospective studies are recommended to confirm these findings.
Abstract

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