Heininger Adam, Densmore John C
General Surgery, Marshfield Clinic Health System, Marshfield, USA.
Pediatric Surgery, Marshfield Clinic Health System, Marshfield, USA.
Cureus. 2025 May 27;17(5):e84894. doi: 10.7759/cureus.84894. eCollection 2025 May.
In underdeveloped countries, is one of the most prevalent parasitic infections of the gastrointestinal tract. presence within the appendix has been shown to cause symptoms that mirror classic appendicitis but frequently does not have any histological evidence of acute inflammation. Although not an unprecedented finding in developing countries, literature rarely examines the incidence in Western countries. This report presents the case of a nine-year-old adolescent girl from the Midwestern United States who showed evidence of within an appendectomy specimen. She presented with a four-day history of abdominal pain. Laboratory values were consistent with elevated infectious markers for a parasite infection, and radiologic findings suggested acute appendicitis. However, histopathology revealed a benign appendix with intraluminal parasitic worms most consistent with This case serves as a reminder that, although it is more common to find evidence of within appendectomy specimens in developing countries, it cannot be completely ruled out in developed countries also, especially in rural settings and low-resourced environments.
在不发达国家，[寄生虫名称]是胃肠道最普遍的寄生虫感染之一。已证明其在阑尾内的存在会引发类似典型阑尾炎的症状，但通常没有任何急性炎症的组织学证据。虽然在发展中国家这并非前所未有的发现，但文献很少研究西方国家的发病率。本报告介绍了一名来自美国中西部的9岁少女的病例，其阑尾切除标本中有[寄生虫名称]感染的证据。她有四天的腹痛病史。实验室检查结果与寄生虫感染导致的感染指标升高一致，影像学检查结果提示急性阑尾炎。然而，组织病理学显示阑尾良性，腔内有寄生虫，最符合[寄生虫名称]。该病例提醒我们，虽然在发展中国家阑尾切除标本中发现[寄生虫名称]感染的证据更为常见，但在发达国家也不能完全排除，尤其是在农村地区和资源匮乏的环境中。
