Acute appendicitis secondary to oxyuris vermicularis infection in young-aged women: A case report | [Pakistan Journal of Surgery • 2021]

Author(s):

1. Yasser MH Khalifa: King Abdullah Hospital, Bisha, Saudia Arabia

2. Zuhair Babiker: King Abdullah Hospital, Bisha, Saudia Arabia

3. Talal Al Amry: King Abdullah Hospital, Bisha, Saudia Arabia

4. Bahgat Mahmoud: King Abdullah Hospital, Bisha, Saudia Arabia

5. Esam El Ghamdy: King Abdullah Hospital, Bisha, Saudia Arabia

Abstract:

Acute appendicitis due to Enterobius vermicularis (formerly known as oxyuris) is very rare, affecting mostly children. Whether pin worms cause abdominal upset, infl ammation of the appendix or just appendiceal colic has been a matt er of controversy. Case presentation: A Saudi 15-year-old girl was repeatedly referred to our Emergency Department with acute vague abdominal pain in her right and left lower quadrants more in the right. Th e physical examination was quite normal apart from deeply seated right iliac fossa tenderness. Laboratory indices were normal except for fl uctuated white cell counts. Radiological assessment with ultrasonography and computed tomography were unremarkable. A laparoscopic appendectomy was performed. The athological examination showed the lumen containing pin worms oxyuris. Conclusion: Th e fi nding of oxyuris vermicularis in appendectomy pathological specimens is infrequent. Parasitic infestation rarely cause acute appendicitis, especially in adults and may present as subtle clinical picture. Laparoscopy has vital role in doubtful cases.

Page(s): 231-233

DOI: DOI not available

Published: Journal: Pakistan Journal of Surgery, Volume: 37, Issue: 3, Year: 2021

Keywords:

Acute appendicitis , Parasitic infestation , oxyuris vermicularis enterobius vermicularis

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