Enterobius vermicularis infestation of the appendix mimicking acute appendicitis in a young Italian boy

Beatrice  D’Orazio; Sebastiano  Bonventre; Bianca  Cudia; Dario  Calì; Gaetano  Vita; Girolamo  Geraci

doi:pii/493

1 Dec 2020Case Report

Enterobius vermicularis infestation of the appendix mimicking acute appendicitis in a young Italian boy

Beatrice D’Orazio ¹Sebastiano Bonventre ²Bianca Cudia ²Dario Calì ³Gaetano Vita ²Girolamo Geraci ²

Affiliations

Article Info

¹ Department of Surgical, Oncological and Stomatological Sciences, General Surgery Unit, University of Palermo, Itlay；Postgraduate Medical School in General Surgery, University of Palermo, Palermo, Italy

² Department of Surgical, Oncological and Stomatological Sciences, General Surgery Unit, University of Palermo, Itlay

³ Department of Surgical, Oncological and Stomatological Sciences, General Surgery Unit, University of Palermo, Itlay； Postgraduate Medical School in General Surgery, University of Palermo, Palermo, Italy

Abstract

Enterobius Vermicularis (EV) is the most commonly identified heminth incidentally found within the appendix of a clinically diagnosed appendicitis. This simple presence of EV may cause appendicular colic, primarily affecting children, it is an important cause of negative appendicectomy. We report a case of a young male who presented with clinical features of acute appendicitis. Laparoscopic appendicectomy was uneventful and pathologic examination revealed the presence of an EV infestation originating from the lumen of his vermiform appendix.

Keywords

Acute appendicitis
Diagnosis
Enterobius Vermicularis