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Acute abdomen: An uncommon presentation of a common intestinal nematode.

Rizvi G, Rawat V, Pandey HS, Kumar M - Trop Parasitol (2015 Jul-Dec)

Bottom Line: We encountered five such cases where we observed the worm outside the lumen of the intestine.The pathological findings and the clinical features are discussed.This case series highlight that E. vermicularis can be the cause of pathology within the abdomen and should be considered in the differential diagnosis of some commonly encountered abdominal conditions.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, Government Medical College, Haldwani, Uttarakhand, India.

ABSTRACT
Enterobius vermicularis is a common parasitic infection of the intestine which is rarely symptomatic. It is unusual to find it in the wall or outside the gastrointestinal tract. We encountered five such cases where we observed the worm outside the lumen of the intestine. The pathological findings and the clinical features are discussed. This case series highlight that E. vermicularis can be the cause of pathology within the abdomen and should be considered in the differential diagnosis of some commonly encountered abdominal conditions.

No MeSH data available.


Related in: MedlinePlus

Case 4 Enterobius vermicularis in the omental tissue. Numerous degenerated chitinous structures of the worm surrounded by intense inflammatory infiltrate (H and E, ×10)
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Figure 2: Case 4 Enterobius vermicularis in the omental tissue. Numerous degenerated chitinous structures of the worm surrounded by intense inflammatory infiltrate (H and E, ×10)

Mentions: A young 15-year-old female patient reported to the surgery outpatient department with the complaint of pain abdomen for 4 days and signs and symptoms of intestinal obstruction. A past history revealed that the patient had experienced multiple episodes of abdominal pain for which he had been given palliative treatment at the peripheral level. A provisional clinical diagnosis of tuberculosis was made. On performing a laparotomy no perforation was seen and omental tissue measuring 18 × 6 cm was received in Pathology Department for examination. Multiple sections showed fatty tissue with degenerated chitinous structure of E. vermicularis embedded in intense inflammatory infiltrate with numerous eosinophils [Figure 2].


Acute abdomen: An uncommon presentation of a common intestinal nematode.

Rizvi G, Rawat V, Pandey HS, Kumar M - Trop Parasitol (2015 Jul-Dec)

Case 4 Enterobius vermicularis in the omental tissue. Numerous degenerated chitinous structures of the worm surrounded by intense inflammatory infiltrate (H and E, ×10)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4557152&req=5

Figure 2: Case 4 Enterobius vermicularis in the omental tissue. Numerous degenerated chitinous structures of the worm surrounded by intense inflammatory infiltrate (H and E, ×10)
Mentions: A young 15-year-old female patient reported to the surgery outpatient department with the complaint of pain abdomen for 4 days and signs and symptoms of intestinal obstruction. A past history revealed that the patient had experienced multiple episodes of abdominal pain for which he had been given palliative treatment at the peripheral level. A provisional clinical diagnosis of tuberculosis was made. On performing a laparotomy no perforation was seen and omental tissue measuring 18 × 6 cm was received in Pathology Department for examination. Multiple sections showed fatty tissue with degenerated chitinous structure of E. vermicularis embedded in intense inflammatory infiltrate with numerous eosinophils [Figure 2].

Bottom Line: We encountered five such cases where we observed the worm outside the lumen of the intestine.The pathological findings and the clinical features are discussed.This case series highlight that E. vermicularis can be the cause of pathology within the abdomen and should be considered in the differential diagnosis of some commonly encountered abdominal conditions.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, Government Medical College, Haldwani, Uttarakhand, India.

ABSTRACT
Enterobius vermicularis is a common parasitic infection of the intestine which is rarely symptomatic. It is unusual to find it in the wall or outside the gastrointestinal tract. We encountered five such cases where we observed the worm outside the lumen of the intestine. The pathological findings and the clinical features are discussed. This case series highlight that E. vermicularis can be the cause of pathology within the abdomen and should be considered in the differential diagnosis of some commonly encountered abdominal conditions.

No MeSH data available.


Related in: MedlinePlus