由于Enterobius vermicularis感染而引起的急性尾炎:一个病例报告
Ravi Chandra Tata1, Mahmoud Abdelreheem1, Aina Mercant Osuna1
1Department of General Surgery, East Kent Hospitals University NHS Foundation Trust, Queen Elizabeth The Queen Mother Hospital, Margate, GBR.
Cureus
|December 31, 2024
概括
虫 (Enterobius vermicularis) 感染可以通过阻塞尾引起急性尾炎. 这一案例凸显了在尾切除诊断中考虑寄生病因和组织病理学的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 寄生虫学的寄生虫学
- 手术病理学手术病理学
背景情况:
- 急性尾炎是一种常见的手术紧急情况,经常是由便或淋巴细胞增生引起的.
- 寄生虫感染虽然很少见,但是导致尾炎的重要因素.
- 虫 (Enterobius vermicularis) 是发达国家最常见的虫,可以通过机械或免疫途径诱导尾炎.
研究的目的:
- 报告一个由Enterobius vermicularis感染引起的急性尾炎病例.
- 为了强调在尾炎中寄生虫感染的诊断意义.
- 突出病学检查在识别寄生虫尾炎中的作用.
主要方法:
- 一个16岁的男性出现急性尾炎症状的病例报告.
- 诊断工作包括临床评估和腹腔镜尾切除术.
- 对切除的尾进行的组织病理学检查证实了Enterobius vermicularis.
主要成果:
- laparoscopic 尾切除术揭示了尾炎的原因是 Enterobius vermicularis 感染.
- 组织病理学证实了寄生虫病因.
- 患者经历了手术后和抗虫治疗后的无故复苏.
结论:
- Enterobius vermicularis可以成为急性尾炎的致病原因,而不仅仅是偶然的发现.
- 在尾炎的差异诊断中,应考虑寄生虫感染,特别是在非典型病例中.
- 对尾切除样本的组织病理学分析对于诊断寄生虫尾炎至关重要.
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