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Enterobius vermicularis causing acute appendicitis, a case report with literature review
Zuhair D Hammood1, Abdulwahid M Salih2, Shvan H Mohammed3
1Sulaimani Teaching Hospital, Sulaimani, Kurdistan, Iraq.
Enterobius vermicularis, a common pinworm, can cause acute appendicitis by obstructing the appendix. Surgical removal of the appendix is the recommended treatment for this parasitic infestation.
Area of Science:
- Gastroenterology
- Parasitology
- Surgical Pathology
Background:
- Enterobius vermicularis (pinworm) infections are globally prevalent but their role in acute appendicitis is debated.
- Pinworm infestation within the appendix is rarely observed during appendectomy.
Purpose of the Study:
- To report a case of acute appendicitis attributed to Enterobius vermicularis.
- To highlight the potential of pinworms to induce appendiceal inflammation.
Main Methods:
- A case study of a 23-year-old female presenting with symptoms of acute appendicitis.
- Clinical diagnosis of suspected acute appendicitis.
- Surgical exploration and appendectomy via a right grid iron incision.
Main Results:
- Intraoperative findings revealed an inflamed appendix.
- The inflammation was caused by obstruction from Enterobius vermicularis.
Conclusions:
- Enterobius vermicularis can reside in the appendix, mimicking acute appendicitis symptoms.
- Surgical resection of the appendix is the definitive treatment for appendicitis caused by pinworms.
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