Case Report: Laparoscopic Management of Acute Appendicitis Resulting from Ascaris lumbricoides

Castañeda, Catalina; Valbuena, Diego; Salamanca, William; Acevedo, David; Pedraza, Mauricio

doi:10.4269/ajtmh.21-1245

Cited by 3 publications

(5 citation statements)

References 9 publications

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“…While it can migrate to the appendix, mimicking appendicitis symptoms, its role as a direct causative agent remains unclear. However, its migration to the stomach is rare, likely attributed to the harshly acidic environment and robust peristaltic movements within the stomach [ 5 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…A complete blood count can help detect leukocytosis, particularly in asymptomatic cases. Although ultrasound is valuable in assessing appendicitis, its effectiveness in diagnosing helminth infestation is limited [ 5 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Antiparasitic therapy, typically with medications like albendazole or mebendazole, should commence upon confirming parasitic infestation. Additionally, patient and family education on hygiene and sanitation practices is crucial to preventing future infections [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of appendicitis linked to helminthic infection varies widely, reported between 1.5% and 27.2%, with a notably higher incidence in pediatric populations. The involvement of Ascaris lumbricoides , a common intestinal parasite, in causing appendicitis is controversial; while it can migrate to the appendix, mimicking appendicitis symptoms, its role as a direct causative agent remains unclear [ 5 ]. Suspected appendicitis due to roundworm is commonly confirmed through the identification of roundworm eggs in the appendectomy specimen [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Foreign Body Appendicitis Coexisting With Ascariasis in a Pediatric Patient: A Case Report

Khan,

Idrees

et al. 2024

Cureus

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In clinical practice, the typical approach to ingested foreign bodies in stable patients involves expectant management, as most materials pass through the gastrointestinal (GI) tract without adverse effects. However, foreign bodies that travel through the appendix's lumen can cause acute appendicitis due to their inability to exit the colon. Rarer causes of appendicitis include parasitic infiltration by Ascaris lumbricoides . The wandering behavior of Ascaris lumbricoides within the GI tract can lead to various surgical complications in the abdomen. Occasionally, these parasites can migrate to the vermiform appendix, where they may either induce pathological changes or remain asymptomatic. We report an unusual case of an eight-year-old Pakistani female patient who presented to the emergency room with pain in the right iliac fossa, associated with anorexia and nausea, for one day. On examination, the patient was found to be vitally stable, with right iliac fossa tenderness noted on palpation. Additionally, the patient exhibited positive pointing, rebound, Rovsing, and psoas signs. Her medical history revealed that she had ingested a metallic needle seven months ago. Blood tests were undertaken, and an abdominal X-ray confirmed the existence of a radiopaque metallic object in the right lower quadrant of the abdomen. The patient underwent an open appendicectomy for acute appendicitis and was discovered to have a metallic needle lodged in the vermiform appendix. Concurrently, she also had ascariasis, as she vomited a 23-cm-long Ascaris lumbricoides worm. It is important to consider both mechanical and parasitic etiologies in diagnosing acute appendicitis; detailed evaluation and management strategies are necessary to address these unique etiologies effectively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Foreign Body Appendicitis Coexisting With Ascariasis in a Pediatric Patient: A Case Report

Khan,

Idrees

et al. 2024

Cureus

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“…Ascaris lumbricoides is rarely found in the appendix (incidence 1-27% in endemic countries). 3 Besides, the responsibility remains debated. 2 First case report published was in 1906 by Dr. Anley while he was serving in China.…”

Section: Introductionmentioning

confidence: 99%

Ascaris lumbricoides, an uncommon cause of appendicitis

Ruelas-Contreras,

Caballero-Concha

2023

Int Surg J

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Appendicitis is the first cause of acute abdomen. There are many causes of appendicitis, one of them is parasites, and, Ascaris is the most common helminth infection in tropical countries (Asia, Africa, South America). Ascaris, once it is ingested, lives at the digestive tract and it can end up in the appendix lumen and lead to appendicitis by luminal obstruction, in fact this presentation is rare and is still debatable in the literature. Diagnostic most of times is made retrospectively by the demonstrations of ascaris eggs on the pathological examination of the appendix. We present the case of 7 years old male that arrives to emergency room presenting clinically acute appendicitis with 24 hours from beginning with fever 38ºC, intense mesogastrium abdominal pain with migration to right lower quadrant, anorexy, without nausea or vomiting, normal vital signs at physical examination intense abdominal pain, rebound, positive McBurney and psoas sign, leukocytosis with sift left. He underwent to emergency operation because suspect of appendicitis, we found a cecal appendix with Ascaris lumbricoides parasite in its lumen.

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The “Rescued” appendix

Ma,

Liu,

et al. 2024

Asian Journal of Surgery

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Case Report: Laparoscopic Management of Acute Appendicitis Resulting from Ascaris lumbricoides

Cited by 3 publications

References 9 publications

Foreign Body Appendicitis Coexisting With Ascariasis in a Pediatric Patient: A Case Report

Foreign Body Appendicitis Coexisting With Ascariasis in a Pediatric Patient: A Case Report

Ascaris lumbricoides, an uncommon cause of appendicitis

The “Rescued” appendix

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