<i>Enterobius</i>granulomas as a cause of abdominal pain

Rajendran, Simon; Carmody, Emma; Barry, Brian

doi:10.1136/bcr-2015-210464

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…A recent case report discussed an 18-year-old patient with a small pelvic inflammatory mass, who presented following an appendicectomy, that was found to contain E. vermicularis worms on histological examination. This was a particularly unexpected finding given that there were no E. vermicularis organisms identified on histological examination of the appendicectomy specimen 10 . E. vermicularis has been found on histological examination of an omental mass,2 an epididymal pseudotumour4 and a perianal polypoidal mass 11…”

Section: Discussionmentioning

confidence: 88%

Large-bowel obstruction secondary to Enterobius vermicularis pseudotumour

et al. 2022

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Enterobius vermicularis infection is typically observed in paediatric patients and manifests with perianal pruritus, but other manifestations or ectopic presentations have been reported in the literature. We present the case of a man in his 60ss with a large-bowel obstruction with symptoms including a 4-day history of progressive abdominal pain, distension, vomiting and absolute constipation. On examination, his abdomen was distended with tinkling bowel sounds on auscultation. Cross-sectional imaging demonstrated an obstructing mass in the distal descending colon. An emergency laparoscopic Hartmann’s procedure was performed and the patient made an uneventful recovery. An intraoperative colonoscopy demonstrated numerous white threadworms in the colon. Histological analysis demonstrated a pseudotumour related to Enterobius vermicularis infection. This case represents a rare differential diagnosis for a large-bowel obstruction.

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Section: Discussionmentioning

confidence: 88%

Large-bowel obstruction secondary to Enterobius vermicularis pseudotumour

et al. 2022

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“…The histopathological findings showed that there were intraluminal and intramural Enterobius vermicularis eggs in the ileocecal segment. Enterobius vermicularis has been associated with appendicitis, with young girls being the most vulnerable group, although appendicitis by pinworms is still debatable [ 17 , 18 ]. In this young girl, the negative blood cultures and lack of other pathologies makes the cause of death attributable to pinworm.…”

Section: Discussionmentioning

confidence: 99%

“…However, the vast majority of infected patients remain asymptomatic. Other cases of Enterobius vermicularis associated abdominal pain and/or appendicitis have been reported [ 15 , 16 , 17 , 18 ]. Deaths attributed directly to this parasite are rarely reported and appear to be diagnosed after autopsy [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Fatal Case of a Child Harboring Enterobius vermicularis

et al. 2023

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Enterobius vermicularis is a threadlike parasite also known as “pinworms”. It is the most common helminth infection, affecting the gastrointestinal tracts of children worldwide, although it seldom causes any fatalities. Enterobius vermicularis infections are usually asymptomatic and may only cause anal pruritis, with occasional reported cases of ectopic migration into the appendix or the female genital tract by adult pinworms. Here, we report a case of a 15-year-old girl who presented to the emergency department with high-grade fever, vomiting, and vague abdominal pain for three days. She was diagnosed with acute abdominal pain and underwent emergency ileocecectomy, but died the following day. Pathological examination of ileocecal junction showed intraluminal and intramural Enterobius vermicularis, which were attributed as the cause of her death in the absence of any other pathologies. Death due to Enterobius vermicularis is rare; this case calls for clinicians to be vigilant in exploring Enterobius vermicularis infections in patients with undiagnosed acute abdominal pain, since it could be a potential cause of death.

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Enterobiusgranulomas as a cause of abdominal pain

Cited by 2 publications

References 3 publications

Large-bowel obstruction secondary to Enterobius vermicularis pseudotumour

Large-bowel obstruction secondary to Enterobius vermicularis pseudotumour

Fatal Case of a Child Harboring Enterobius vermicularis

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