Herrera Glenda C, Herrera Amílcar C, Pontón Patricia, Molina Gabriel Alejandro, Constante Jonathan Eduardo, Delgado Jhony Alejandro
Department of General Surgery, Hospital Metropolitano, Quito, Ecuador.
Department of Internal Medicine, Division of Pathology, Hospital Metropolitano, Quito, Ecuador.
J Surg Case Rep. 2019 Mar 13;2019(3):rjz076. doi: 10.1093/jscr/rjz076. eCollection 2019 Mar.
Acute appendicitis is one of the most common abdominal emergencies, even though most cases of appendicitis will be due to obstruction of the appendiceal lumen, in rare occasions and mostly due to poor sanitary conditions a parasitic infection may cause appendicitis. is a common parasite and has a broad clinical spectrum from an asymptomatic disease to a life-threatening condition. In rare occasions, trophozoites can invade the appendiceal wall causing appendicitis. Preoperative diagnosis of acute amebic appendicitis is usually difficult, yet surgical treatment as in non-amebic appendicitis is the treatment of choice. However, due to the increased rate of postoperative complications associated with acute amebic appendicitis, a course of nitroimidazoles, and increased awareness in basic sanitary measures is usually recommended. We present a case of a 29-year-old woman, she presented with abdominal pain and appendicitis was suspected. After successful surgery, pathology confirmed acute amebic appendicitis.
急性阑尾炎是最常见的腹部急症之一，尽管大多数阑尾炎病例是由于阑尾腔梗阻所致，但在极少数情况下，主要由于卫生条件差，寄生虫感染可能导致阑尾炎。 是一种常见寄生虫，具有从无症状疾病到危及生命状况的广泛临床谱。在极少数情况下，滋养体可侵入阑尾壁导致阑尾炎。急性阿米巴性阑尾炎的术前诊断通常很困难，但与非阿米巴性阑尾炎一样，手术治疗是首选治疗方法。然而，由于急性阿米巴性阑尾炎术后并发症发生率增加，通常建议使用硝唑类药物疗程，并提高对基本卫生措施的认识。我们报告一例29岁女性病例，她因腹痛就诊，怀疑患有阑尾炎。手术成功后，病理证实为急性阿米巴性阑尾炎。 （注：原文中“ is a common parasite”这里缺少具体寄生虫名称，翻译时保留原文格式）
