Hammood Zuhair D, Salih Abdulwahid M, Mohammed Shvan H, Kakamad Fahmi H, Salih Karzan M, Omar Diyar A, Hassan Marwan N, Sidiq Shadi H, Mustafa Mohammed Q, Habibullah Imad J, Usf Drood C, Al Obaidi Anmar E
Sulaimani Teaching Hospital, Sulaimani, Kurdistan, Iraq.
Faculty of Medical Sciences, School of Medicine, Department Surgery, University of Sulaimani, Sulaimani, Kurdistan, Iraq.
Int J Surg Case Rep. 2019;63:153-156. doi: 10.1016/j.ijscr.2019.09.025. Epub 2019 Sep 25.
Enterobius vermicularis is one of the commonest parasitic infestations worldwide but its association with acute appendicitis remains controversial. It is very rarely encountered during appendectomy. The aim of this paper is to report a case of acute appendicitis caused by Enterobius vermicularis. A 23-year-old housewife presented with a right lower abdominal pain for the past 8 h. Clinical examination revealed right iliac fossa tenderness upon palpation and rebound tenderness upon release. The patient was diagnosed as a case of suspected acute appendicitis. The patient was anesthetized and intubated. Delivery of the vermiform appendix done through right grid iron incision. Intra operatively an inflamed appendix obstructed by Enterobius vermicularis was noted.
Enterobius vermicularis can habit the appendix and induce the signs and symptoms of A.A with or without actual histopathological acute appendicitis. The treatment of choice is surgical resection of the appendix.
蛲虫是全球最常见的寄生虫感染之一，但其与急性阑尾炎的关联仍存在争议。在阑尾切除术中很少遇到。本文旨在报告一例由蛲虫引起的急性阑尾炎病例。一名23岁的家庭主妇在过去8小时内出现右下腹疼痛。临床检查发现触诊时右髂窝压痛，松开时反跳痛。该患者被诊断为疑似急性阑尾炎病例。患者接受麻醉并插管。通过右麦氏切口取出阑尾。术中发现阑尾发炎，被蛲虫阻塞。
蛲虫可寄居于阑尾，无论是否存在实际的组织病理学急性阑尾炎，均可引发急性阑尾炎的体征和症状。首选的治疗方法是阑尾手术切除。
