Is the Pinworm Causing Acute Suppurative Perforating Appendicitis in Children? A Case Series
- *Corresponding Author:
- Sarah Magdy Abdelmohsen
Pediatric Surgery, Aswan University Hospital, Egypt
E-mail: [email protected]; [email protected]
Received date: June 06, 2017; Accepted date: June 21, 2017; Published date: June 29, 2017
Citation: Abdelmohsen SM, Osman MA (2017) Is the Pinworm Causing Acute Suppurative Perforating Appendicitis in Children? A Case Series. J Clin Exp Pathol 7:312. doi: 10.4172/2161-0681.1000312
Copyright: © 2017 Abdelmohsen SM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: The pinworm Enterobius vermicularis is the most common parasite reported to be associated with appendicitis. It frequently occurs in children between the age of 5 to 10 years. The aim of our study is to focus on the relationship between the pinworm and acute suppurative perforating appendicitis.
Case series: 4 children from rural areas of Upper Egypt with mean age 11 years presented to emergency department Aswan and Assiut universities hospitals during the period from March 2016 to January 2017 complained of right lower quadrant abdominal pain. The appendix in all children was perforated at the base or the middle of the appendix with mobile pinworm was noted moving around the perforated edge.
Discussion: Pinworm was associated with different pathologic changes ranging from lymphoid hyperplasia, acute appendicitis, and suppurative appendicitis to a normal appendix. It is wrangling whether pinworm can cause appendicitis or if they are an incidental finding during an appendectomy.
Conclusion: The awareness of pinworm and its preventive measures should be delivered to school children and their mothers to overcome the risk of infection and its dangerous drawback. The importance of histopathological and faecolith examinations to the resected appendix specimens to detect the correct incidence of pinworm causing appendicitis in Egypt.