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[Parasites in the Etiology of Pediatric Appendicitis]

Turan Yıldız1, Zekerya İlçe, Gupse Turan

  • 1Sakarya Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Sakarya, Türkiye. tyildiz44@hotmail.com.

Turkiye Parazitolojii Dergisi
|October 17, 2015
PubMed

Insights

Parasitic infections, particularly Enterobius vermicularis, were found in 0.39% of pediatric appendicitis cases. Diagnosing and treating these parasites may reduce appendicitis incidence and right lower quadrant pain.

Area of Science:

  • Pediatric Surgery
  • Infectious Diseases
  • Gastroenterology

Background:

  • Appendicitis is a frequent surgical emergency in children.
  • Potential causes include fecaliths, lymphoid hyperplasia, parasites, and foreign bodies.
  • The role of parasitic infections in pediatric appendicitis requires further investigation.

Purpose of the Study:

  • To evaluate the contribution of parasitic infections to pediatric appendicitis.
  • To identify specific parasites implicated in appendicitis cases.

Main Methods:

  • Retrospective analysis of histopathological findings in pediatric appendectomy specimens.
  • Evaluation of appendicitis cases operated between January 2008 and 2014.
  • Detection and recording of parasites in appendiceal tissues.

Main Results:

  • Parasitic appendicitis was identified in 14 out of 846 patients (1.65%).
  • Enterobius vermicularis was the most common parasite (12 cases), followed by Taenia spp. (2 cases).
  • Overall, parasitic infections were detected in 0.39% of all appendicitis cases studied.

Conclusions:

  • Enterobius vermicularis is a significant parasite associated with appendicitis in children.
  • Parasites can cause abdominal pain mimicking appendicitis, sometimes without overt inflammation.
  • Effective diagnosis and treatment of parasitic infections could potentially decrease the incidence of appendicitis and associated right lower quadrant pain.
Abstract

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