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Enterobius vermicularis Appendiceal Colic. - 2019

Available online through MWHC library: 2000 - 2010, Available in print through MWHC library:1999-2007

Enterobius vermicularis associated appendiceal colic and acute appendicitis are rarely encountered in the United States. The 9-year-old patient described in this case presented with right lower quadrant abdominal pain, nausea, and vomiting consistent with acute appendicitis and was brought to the operating room for an appendectomy. Intraoperatively a pinworm, E. vermicularis, was visualized and the presumptive diagnosis of acute appendicitis was revised to E. vermicularis associated appendiceal colic. Retrospective review of the preoperative imaging demonstrates the first reported ultrasonographic image of pinworm inhabitance within the appendiceal lumen. The patient was treated postoperatively with a course of albendazole and recovered appropriately. This article reviews the geographic epidemiology, pathophysiology, surgical, and medical treatment recommendations in the management of E. vermicularis diseases of the appendix. Through dissemination of this ultrasonographic imaging, the authors hope to inform other providers about E. vermicularis associated appendiceal colic and reduce the incidence of avoidable surgeries.


English

ISSN: 1092-6429

Standard No.: 10.1089/lap.2018.0693 [doi]

Subjects--Topical Terms:
*Abdominal Pain/su [Surgery]
*Appendicitis/ps [Parasitology]
*Appendicitis/su [Surgery]
*Appendix/ps [Parasitology]
*Appendix/su [Surgery]
*Colic/ps [Parasitology]
*Enterobiasis/ps [Parasitology]
*Enterobiasis/su [Surgery]
Acute Disease
Animals
Appendectomy
Child
Colic/su [Surgery]
Enterobius
Female
Humans
Incidence
Nausea
Postoperative Period
Retrospective Studies
Vomiting

Subjects--Geographic Terms:
MedStar Washington Hospital Center

Index Terms--Occupation:
Surgery/General Surgery

Index Terms--Function:
Journal Article