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Appendicitis and enterobiasis in children.

J Bredesen¹, A Falensteen Lauritzen, V B Kristiansen

¹Department of Surgery, Sundby Hospital, Denmark.

Acta Chirurgica Scandinavica

|October 1, 1988

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Enterobius vermicularis (pinworm) was found in 12.5% of children's appendices. This study found no evidence that pinworms cause appendicitis, suggesting they may cause similar symptoms known as appendicopathia oxyurica.

Area of Science:

Pediatric surgery
Infectious diseases
Gastroenterology

Background:

The role of Enterobius vermicularis (pinworm) in appendicitis pathogenesis remains unclear.
Pinworm infections are common in children, and appendicitis is a frequent surgical diagnosis in this age group.

Purpose of the Study:

To investigate the association between Enterobius vermicularis infestation and appendicitis in children.
To determine if pinworm infection contributes to the development of appendicitis.

Main Methods:

Analysis of 303 pediatric appendectomy specimens for the presence of Enterobius vermicularis.
Comparison of appendicitis prevalence and surgical outcomes between children with and without pinworm infestation.

Main Results:

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Enterobius vermicularis was identified in 38 (12.5%) of the 303 appendices examined.
No pathogenic effect of Enterobius vermicularis in appendicitis was evidenced.
Negative laparotomy rates were significantly higher in the pinworm-infested group compared to the non-infested group.

Conclusions:

The findings do not support a direct pathogenic role for Enterobius vermicularis in appendicitis.
Enterobius vermicularis may cause symptoms that mimic true appendicitis, a condition termed appendicopathia oxyurica.