Tiruneh Anduamlak B, Machado Marlon F, Ngoy Thaddee, Forero-Millan Julian
Department of Radiology, Bahor Dar College of Medicine and Health Science, Bahir Dar, Ethiopia.
Department of Surgery, St. Joseph Catholic Hospital, Monrovia, Liberia.
Radiol Case Rep. 2025 May 2;20(7):3497-3500. doi: 10.1016/j.radcr.2025.03.087. eCollection 2025 Jul.
Appendicitis commonly causes abdominal surgical emergencies, occurring with an incidence of 7%-14%. In tropical regions where it is endemic, ascariasis ranks as the most prevalent helminth infection. Intestinal helminths move through the digestive system and can block the appendix lumen, resulting in appendicitis due to luminal obstruction. In this case, we present an 8-year-old female who experienced periumbilical pain that shifted to the right lower abdomen over 3 days. She also vomited and lost her appetite. An abdominal ultrasound confirmed appendicitis, but the ultrasound did not visualize the cause of the obstruction. During surgery, doctors discovered intraluminal ascariasis as the cause of the obstruction and associated inflammation.
阑尾炎是常见的腹部外科急症，发病率为7% - 14%。在蛔虫病流行的热带地区，蛔虫病是最普遍的蠕虫感染。肠道蠕虫在消化系统中移动，可阻塞阑尾腔，导致因管腔阻塞引起的阑尾炎。在此病例中，我们报告一名8岁女性，她在3天内经历了从脐周疼痛转移至右下腹的过程。她还伴有呕吐和食欲不振。腹部超声确诊为阑尾炎，但超声未显示阻塞原因。手术中，医生发现腔内蛔虫病是阻塞及相关炎症的病因。
