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蛲虫感染所致急性阑尾炎:一例报告

Acute Appendicitis Due to Enterobius vermicularis Infestation: A Case Report.

作者信息

Tata Ravi Chandra, Abdelreheem Mahmoud, Mercant Osuna Aina, Mangam Sudhakar

机构信息

Department of General Surgery, East Kent Hospitals University NHS Foundation Trust, Queen Elizabeth The Queen Mother Hospital, Margate, GBR.

出版信息

Cureus. 2024 Dec 28;16(12):e76535. doi: 10.7759/cureus.76535. eCollection 2024 Dec.

Abstract

Acute appendicitis is the most frequent abdominal surgical emergency worldwide. While luminal obstruction due to fecaliths and lymphoid hyperplasia is a common cause, parasitic infections are a rare but significant contributor. , the most common helminthic infection in developed countries, can trigger appendiceal inflammation through a mechanical obstruction or immune response. This report presents a case of a 16-year-old male with acute appendicitis secondary to infestation. The patient presented with typical appendicitis symptoms, and laparoscopic appendectomy revealed the parasitic involvement, confirmed by histopathology. Postoperative recovery was uneventful following surgical intervention and anti-helminthic treatment.  is often an incidental finding in appendectomy specimens but may play a pathogenic role in some cases of appendicitis. This case underscores the importance of considering parasitic infections in patients with atypical presentations of appendicitis and highlights the value of histopathological examination in appendectomy cases.

摘要

急性阑尾炎是全球最常见的腹部外科急症。虽然粪石和淋巴组织增生导致的管腔阻塞是常见原因,但寄生虫感染是一种罕见但重要的病因。蛔虫感染是发达国家最常见的蠕虫感染,可通过机械性阻塞或免疫反应引发阑尾炎症。本报告介绍了一例16岁男性因蛔虫感染继发急性阑尾炎的病例。患者表现出典型的阑尾炎症状,腹腔镜阑尾切除术发现了寄生虫感染,经组织病理学证实。手术干预和抗蠕虫治疗后,患者术后恢复顺利。蛔虫感染在阑尾切除标本中常为偶然发现,但在某些阑尾炎病例中可能起致病作用。该病例强调了在阑尾炎非典型表现患者中考虑寄生虫感染的重要性,并突出了阑尾切除病例中组织病理学检查的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecbe/11684557/748fa79a4d98/cureus-0016-00000076535-i01.jpg

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