Pirhan Yavuz, Özen Fatma Zeynep, Kılınç Çetin, Güçkan Rıdvan
Amasya Üniversitesi, Sabuncuoğlu Şerefeddin Eğitim ve Araştırma Hastanesi, Genel Cerrahi Bölümü, Amasya, Türkiye.
Turkiye Parazitol Derg. 2017 Jun;41(2):76-79. doi: 10.5152/tpd.2017.4605.
Although intestinal parasitic infections rarely cause acute appendicitis, they are common public health problems in undeveloped and developing countries. Parasitic infections should be kept in mind in patients clinically suspected of having acute appendicitis, and treatment procedures should be adopted according to the etiology.
Herein we presented the cases of four patients with clinical findings of acute appendicitis. Patients were clinically suspected of having acute appendicitis, and Enterobius vermicularis was detected in the pathological examinations of specimens. Pinworm infections are common parasitic infections that may mimic appendicitis.
The pathology of the four cases was noted when the file of 186 patients aged between 4 and 72 years who underwent surgery for acute appendicitis in my hospital was retrospectively reviewed. When the appendectomy specimen was examined histopathologically it was understood that acute appendicitis was caused by Enterobius vermicularis parasite.
In Enterobius infections, performing systemic therapy for patients and their family members is sufficient. To prevent unnecessary appendectomy, this type of infection should be made to ask in the history and clinical findings of patients.
虽然肠道寄生虫感染很少引起急性阑尾炎，但在不发达国家和发展中国家却是常见的公共卫生问题。对于临床怀疑患有急性阑尾炎的患者，应考虑寄生虫感染，并根据病因采取治疗措施。
在此我们介绍了4例有急性阑尾炎临床表现的患者病例。患者临床上怀疑患有急性阑尾炎，在标本的病理检查中检测到蛲虫。蛲虫感染是常见的寄生虫感染，可能类似阑尾炎。
回顾性分析我院186例4至72岁因急性阑尾炎接受手术治疗患者的病历档案时，发现了这4例病例的病理情况。对阑尾切除标本进行组织病理学检查时发现，急性阑尾炎是由蛲虫寄生虫引起的。
在蛲虫感染中，对患者及其家属进行全身治疗就足够了。为避免不必要的阑尾切除术，应在患者的病史和临床表现中询问此类感染情况。
