Schou-Jensen Katrine, Antipina Elena Nikolaevna, Brisling Steffen Kirstein, Azawi Nessn
Urologisk Afdeling, Roskilde Sygehus, Køgevej 7-13, 4000 Roskilde.
Ugeskr Laeger. 2014 Dec 15;176(51).
A nine-year-old girl was admitted to the paediatric ward due to fever and lower abdomen pain through a day. Acute laparoscopic exploration showed a large necrotic perforation at the distal end of the appendix. During the appendectomy multiple small, live Enterobius vermicularis (pinworms) were observed. The patient was admitted for three days of observation and received relevant treatment with intravenous antibiotics and antihelminthic treatment. The histology showed numerous pinworms in the lumen of the appendix and invasion of the pinworms of the submucosal layer and the wall of the appendix.
一名九岁女孩因发热和下腹部疼痛一天被收治入儿科病房。急性腹腔镜探查显示阑尾远端有一个大的坏死穿孔。在阑尾切除术中观察到多条活的蠕形住肠线虫(蛲虫)。患者入院观察三天,接受了静脉抗生素及抗蠕虫治疗。组织学检查显示阑尾腔内有大量蛲虫,蛲虫侵入了阑尾黏膜下层和阑尾壁。