Subject: Enterobius vermicularis
Subject: appendicitis
Subject: laparoscopic cholecystectomy
Year: 2020
Type: Article
Title: ACUTE APPENDICITIS ASSOCIATED WITH ENTEROBIUS VERMICULARIS –CASE REPORT
Author: Radomir Gelevski
Author: Gjorgji Jota
Author: Ljubomir Ognjenovic
Author: Gjorgji Trajkovski
Author: Marija Toleska
Author: Snezana Cvetkovic
Author: Bojan Trencic
Abstract: Enterobius vermicularis, typically found in cecum, appendix or terminal ileum, is the cause of the most common helminthic infestation in humans. A 19-year-old female patient, with normal laboratory results, was admitted for urgent appendectomy via McBurney inci-sion. After ligation and division of the inflamed appendixfrom the cecal basis, several viable and mobile enterobiusvermiculareswere identified. A short course of alben-dazole treatment was initiated and was interrupted on the second day as a result of the strong anaphylactic reaction. Contrast enhanced CT of the abdomen iden-tified infundibulum of the gallbladder filled with iregu-larhyperdense liquid indicative for parasitic infestation. One month later, elective laparoscopic cholecystectomywas performed, and the removed gallbladder was sentfor parasitological evaluation confirming non-viable worms. Infestation with Enterobius vermicularisobstructsthe lumen of the appendix, causing contraction of the wall and results in appendicitis-like symptoms without signs of acute inflammation. In minority of cases, with pure pathological signs of inflammation a finding of Eneterobius vermicularisis incidental. There are two possible hypotheses regarding the exact mechanism of gallbladder involvement: hematogenous spread or directmigration through unhealthy intestinal tissue. It is recommended to thoroughly examine all appendiceal specimens for presence of this worm, in order to provideadequate anthelminthic therapy in case of infestation.
Publisher: Македонско лекарско друштво = Macedonian medical association
Relation: Македонски медицински преглед = Macedonian medical review
Identifier: oai:repository.ukim.mk:20.500.12188/11959
Identifier: http://hdl.handle.net/20.500.12188/11959
