A Rare Cause of Ileal Ulceration: Enterobius Vermicularis

Şehmus Ölmez1,2,3,4, Bünyamin Sarıtaş1,2,3,4, Duran Deha Çetin1,2,3,4

  • 1Şehmus Ölmez, MD, Department of Gastroenterology, University of Health Sciences, Adana City Training and Research Hospital, Adana, Turkiye.

Insights

Enterobius vermicularis, a common pinworm, can invade the intestinal lining. This case study shows successful treatment of terminal ileitis caused by this parasite with antiparasitic medication.

Area of Science:

  • Gastroenterology
  • Parasitology
  • Infectious Diseases

Background:

  • Enterobius vermicularis (pinworm) is a prevalent intestinal parasite globally.
  • Typically, it resides in the ileocecal region without causing significant mucosal damage.
  • However, instances of mucosal invasion and associated ileitis have been reported, with debated pathogenesis.

Purpose of the Study:

  • To present a case of terminal ileitis caused by Enterobius vermicularis.
  • To investigate the potential for E. vermicularis to cause direct mucosal injury.
  • To document the successful treatment outcome.

Main Methods:

  • Case report presentation.
  • Clinical diagnosis of Enterobius vermicularis infection.
  • Histopathological examination of intestinal tissue (if applicable, though not explicitly stated in the abstract).
  • Administration of antiparasitic therapy.

Main Results:

  • The patient presented with symptoms consistent with terminal ileitis.
  • Enterobius vermicularis was identified as the causative agent.
  • Antiparasitic therapy resulted in successful resolution of the ileitis.

Conclusions:

  • Enterobius vermicularis can cause significant intestinal pathology, including terminal ileitis.
  • The findings suggest that E. vermicularis may directly contribute to mucosal damage.
  • Antiparasitic treatment is effective in managing E. vermicularis-induced ileitis.

Related Concept Videos

Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
1.4K
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
1.5K
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
1.0K
Histology of the Small Intestine01:27

Histology of the Small Intestine

The small intestine exhibits a unique histological structure that significantly enhances its function in digestion and nutrient absorption. These structures include circular folds, villi, and various specialized cells that collectively facilitate the digestion of food.
The intestinal lining features transverse folds called circular folds, each housing fingerlike projections known as intestinal villi. These villi are covered by a layer of simple columnar epithelium, also referred to as...
4.7K
Renewal of Intestinal Stem Cells01:23

Renewal of Intestinal Stem Cells

The intestinal epithelial lining rapidly renews every 4 to 5 days. The renewal is facilitated by intestinal stem cells (ISCs) located at the base of the crypt– a gland located at the bottom of each villus. ISCs divide asymmetrically to form new stem cells and progenitor daughter cells. The daughter cells are called transit-amplifying (TA) cells which move upwards along the crypt and either differentiate into absorptive cells– the enterocytes or secretory cells– including the...
3.6K
Peptic Ulcer01:27

Peptic Ulcer

Peptic ulcers are erosive lesions of the gastric or duodenal lining, most commonly caused by Helicobacter pylori infection. This Gram-negative, helical bacterium has adapted to survive the stomach’s acidic environment by producing urease, which converts urea into ammonia and carbon dioxide. The ammonia neutralizes gastric acid in the bacterium’s immediate environment, allowing colonization of the gastric mucosa. H. pylori attaches to mucus-secreting epithelial cells, penetrates the...
27