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Perforation of the Small Intestine with Acute Peritonitis Caused by Enterobius Vermicularis

Spasimir T Shopov1

  • 1MBAL Uni Hospital, Panagyurishte, Bulgaria.

Folia Medica
|January 8, 2021
PubMed

Insights

Enterobius vermicularis, commonly known as pinworm infection, can cause serious abdominal issues like appendicitis and peritonitis in children. This case highlights the need to consider pinworms in pediatric patients presenting with severe abdominal symptoms.

Area of Science:

  • Medical Microbiology
  • Pediatric Surgery
  • Gastroenterology

Background:

  • Perianal and perineal pruritus are common symptoms associated with Enterobius vermicularis (pinworm) infections in children.
  • While pinworm infections are prevalent in pediatric practice, their potential for causing severe intra-abdominal complications is often underestimated by clinicians.

Observation:

  • A young male patient presented with clinical signs and symptoms indicative of acute peritonitis.
  • Surgical exploration revealed jejunal perforation with purulent exudate, enlarged mesenteric lymph nodes, and evidence of inflammation in the peritoneal cavity.

Findings:

  • Histological examination confirmed the presence of Enterobius vermicularis within the appendix and jejunum.
  • The parasite was also identified in the purulent exudate, intestinal wall, and serosa, alongside chronic nonspecific lymphadenitis in a mesenteric lymph node.

Implications:

  • This case underscores the importance of considering Enterobius vermicularis infection in the differential diagnosis of pediatric peritonitis, appendicitis, and mesenteric lymphadenopathy.
  • Early recognition and appropriate treatment of pinworm infections can prevent severe gastrointestinal and surgical complications in children.

Keywords:
ectopic enterobiasisperitonitistuberculosis

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