在附录Lumen:一个案例报告中的Enterobius vermicularis
Mehta Razzaghi1, Hosna Rezaei1, Farshid Mohammadi2
1Clinical Research Development Unit of Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.
Case reports in surgery
|October 24, 2024
概括
虫虫 (Enterobius vermicularis) 是一种常见的虫感染,通过阻塞尾,可以引起急性尾炎. 这一案例突出了年轻人的不寻常表现,强调了需要彻底检查的必要性.
科学领域:
- 寄生虫学的寄生虫学
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 虫 (pinworm) 感染在全球范围内普遍存在.
- 针虫感染和急性尾炎之间的关联仍在争论中,特别是在成年人中.
- 针虫诱导的尾炎通常在儿童群体中观察到.
研究的目的:
- 为了调查Enterobius vermicularis和急性尾炎之间的有争议的联系.
- 在一个年轻的成年人中呈现由虫阻塞引起的尾炎病例.
- 突出在这种情况下的诊断挑战和组织病理学发现.
主要方法:
- 一个21岁的女性病例报告显示,右下象限的腹部有疼痛.
- 进行了诊断性腹腔镜和尾切除术.
- 附录的组织病理学检查.
主要成果:
- 组织病理学证实,虫虫在尾膜内存在.
- 针虫的感染导致尾阻塞.
- 没有观察到显著的炎症细胞透或淋巴细胞增生,使其与典型的尾炎区别开来.
结论:
- 虫虫 (Enterobius vermicularis) 可以通过机械阻塞引起急性尾炎,即使在成年人中也是如此.
- 组织病理学分析对于诊断尾炎的罕见原因至关重要,如针虫感染.
- 这一案例扩大了对尾炎病因的理解,超越了常见的传染性或炎症过程.
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