Acute appendicitis caused by Enterobius vermicularis: Observations from a case report

Antilahy, Jimmy Anders; Akhoundi, Mohammad; Belaloui, Mohamed; Borovkov, Anna; Marteau, Anthony; Bonte, Éric; Izri, Arezki

doi:10.1016/j.idcr.2021.e01227

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…We found no significant difference between the group with Enterobius-associated appendicitis and that with regular acute appendicitis regarding blood count parameters except SII. Although the CRP level was higher in Enterebious-associated appendicitis than in acute appendicitis in most of the case reports in the literature, we found no significant difference between our two groups [22] Although there were differences between mean CRP levels of Enterobius-associated and regular acute appendicitis groups (CRP levels were higher in the Enterobius group), it was observed that the SD values were high. This shows that the mean values account for a wide range of values.…”

Section: Discussioncontrasting

confidence: 72%

An Evaluation of the Efficacy of Systemic Immune-Inflammation Index in Predicting Enterobius-Associated Appendicitis Preoperatively

Erginel¹,

Karli²,

Baziki³

et al. 2023

Cureus

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Objective Our study aimed to retrospectively evaluate Enterobius -associated appendicitis cases and compare them with acute appendicitis cases in terms of parameters such as the neutrophil-to-lymphocyte ratio (NLR), C-reactive protein (CRP)-to-lymphocyte ratio (CLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII). We primarily aimed to evaluate the utility of SII in the differential diagnosis of Enterobius -associated appendicitis. Methods The appendectomy specimens of pediatric patients who were operated on for acute appendicitis between June 2016 and August 2022 were retrospectively evaluated. Enterobius -associated appendicitis cases were included for analysis. All patients were evaluated regarding age, gender, blood count, surgery, and pathology reports. Pathology reports were evaluated for the presence of histological signs of acute appendicitis. The patients were classified into an Enterobius -associated appendicitis group and a regular acute appendicitis group. CRP, white blood cell (WBC), red cell distribution width (RDW), neutrophils, lymphocytes, NLR, monocytes, eosinophils, platelet (PLT), PLR, CLR, and SII values were compared between the two groups. Results Eleven cases of Enterobius -associated appendicitis were identified out of 430 total cases (2.55%) examined. The mean age of the group with acute appendicitis was 12.83 ±3.16 years, while the mean age of the group with Enterobius -associated appendicitis was 8.55 ±2.54 years. There was no statistically significant difference in terms of CRP, WBC, RDW, lymphocytes, neutrophils, NLR, monocytes, eosinophils, PLT, PLR, and CLR values between the two groups (p>0.05). However, when the SII values of the participants were analyzed, it was observed that the SII values of the participants in the regular appendicitis group were significantly higher than those of the participants in the Enterobius group (p<0.05). Among the 11 Enterobius -associated appendicitis patients, seven appendectomy specimens revealed no inflammation and were regarded as negative appendectomy (63.63%). Conclusion This is the first study to demonstrate the utility of preoperative SII evaluation in Enterobius -associated appendicitis. SII is a simple, easy-to-calculate indicator of Enterobius -associated appendicitis and aids in the preoperative differential diagnosis of acute appendicitis.

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Section: Discussioncontrasting

confidence: 72%

An Evaluation of the Efficacy of Systemic Immune-Inflammation Index in Predicting Enterobius-Associated Appendicitis Preoperatively

Erginel¹,

Karli²,

Baziki³

et al. 2023

Cureus

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“…Hence, it may be present, mostly if there are numerous worms associated with suppurative appendicitis by coincidence. However, in some cases, this parasite had a causal role in appendicular pain and sometimes a perforation, including in adult patients (3), and was found in inflamed appendices removed at operation (4) with hyperplasia of lymphoid follicles (5). The exit of pinworms adults was already observed by the scar of an appendectomy (6).…”

Section: Nematodesmentioning

confidence: 99%

A Case Report of an Appendicitis and Parasitosis

Bourée

Garedaghi

Ensaf

et al. 2023

Int J Med Parasitol Epidemiol Sci

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Appendicitis is a common clinical problem but is not specific to a parasite. A 43-year-old patient consulted for digestive troubles, mostly acute abdominal pain, in the right part. Taenia saginata was found in appendectomy. Different parasites were found in the histopathological evaluation of the appendix, mostly Enterobius vermicularis, but also Ascaris, Taenia, amoeba, and Schistosoma. Acute appendicitis was proven by submucosal fibrosis, active suppurative inflammation, and active granulomas surrounding eggs or larvae of parasites. However, parasites were detected by chance in uninflamed and histologically normal appendices or appendices with chronic inflammation removed during other surgical procedures. The role of parasites in the pathogenesis of acute appendicitis is unclear. An adapted antiparasitic treatment is always necessary after appendectomy following finding parasites.

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“…Acute appendicitis is the most common reason for acute abdominal surgery [1], [2], [3], [4]. In Southeast Asia, the highest incidence of appendicitis occurs in Indonesia and is increasing every year [5].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the RIPASA and Labeda Scoring Systems to Assess the Morphological Severity of Acute Appendicitis

Pattiiha

Selomo

2022

Open Access Maced J Med Sci

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BACKGROUND: Acute appendicitis is the most common emergency surgical case, leading to further complications if not treated immediately. Limited diagnostics infrastructure is an obstacle in developing countries, especially in the regions. Therefore, alternatives such as clinical scoring systems are required to assist in diagnosis. AIM: This study aimed to compare the use of the RIPASA and Labeda scores to assess the severity of acute appendicitis morphology by determining the accuracy, sensitivity, specificity, positive predictive value, negative predictive value, and negative appendectomy rate. METHODS: This was a cross-sectional study designed to assess the severity of morphology of intra-operative acute appendicitis in Dr. Chasan Boesoirie Hospital and network hospitals in Ternate, North Maluku, Indonesia. Data regarding patient characteristics, leukocytes, and acute appendicitis severity were collected and analyzed alongside RIPASA and Labeda scores using the Chi-square test. p < 0.05 were considered statistically significant. RESULTS: Of 59 cases, 39 (66.1%) were complicated acute appendicitis and 20 (33.9%) were noncomplicated acute appendicitis. Chi-square test results showed that there was a significant relationship (p ≤ 0.001) between RIPASA/Labeda scores and the severity of acute appendicitis morphology. CONCLUSION: RIPASA and Labeda scores had the same accuracy, sensitivity, specificity, positive predictive value, and negative predictive value for acute appendicitis severity. Thus, RIPASA and Labeda scores can be used by physicians to help establish a diagnosis of acute appendicitis and determine the need for emergency surgery, as well as predict the possibility of morbidity/complications in patients.

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Acute appendicitis caused by Enterobius vermicularis: Observations from a case report

Cited by 4 publications

References 15 publications

An Evaluation of the Efficacy of Systemic Immune-Inflammation Index in Predicting Enterobius-Associated Appendicitis Preoperatively

An Evaluation of the Efficacy of Systemic Immune-Inflammation Index in Predicting Enterobius-Associated Appendicitis Preoperatively

A Case Report of an Appendicitis and Parasitosis

Comparison of the RIPASA and Labeda Scoring Systems to Assess the Morphological Severity of Acute Appendicitis

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