Enterobius vermicularis infestation in appendectomies: A retrospective analytical study
Journal Title: IP Archives of Cytology and Histopathology Research - Year 2018, Vol 3, Issue 2
Abstract
Introduction Gastrointestinal infection due to enterobius vermicularis is undoubtedly one of the most common human helminthic infections worldwide It often causes acute appendicitis pain and is diagnosed only after histopathological examination of the resected appendix Adult worms and their eggs are often found in resected appendices Worldwide the reported incidence of enterobius infestation in patients with symptoms of appendicitis ranges from 02418Materials and Methods This was a retrospective study conducted for a period of one year in the department of Pathology in a tertiary care hospital GAIMS GK General Hospital Bhuj Kutch in India All the 151 surgically resected appendices submitted were included in the study Out of these 151 appecdectomies HE stained sections of 15 cases were re evaluated due to the presence of parasite enterobius vermicularis Calculation of the modified Alvarado score was done and interpretation of the results was done according to published protocolsResults 15 151 cases 993 were found to have the presence of enterobius vermicularis in the lumen of the appendix on histopathology 615 40 cases that had the presence of acute inflammatory cells had a higher modified Alvarado score due to the presence of leucocytosis 915 60 cases had the presence of abundant eosinophils in the wall of the appendix along with the presence of enterobius vermicularis 615 40 cases that did not have the presence of acute inflammatory cells had a threshold or low score due to the absence of leucocytosisConclusion Our study highlights the importance of histopathological examination of every resected specimen of appendix along with calculation of the modified Alvarado score in all cases of acute appendicitis especially those having suspicious clinical findings suggestive of parasite infestation Thus management of patients with parasites is different warranting antihelminthic medicationKeywords Enterobius vermicularis Histopathological examination Modified alvarado score
Authors and Affiliations
Riti TK Sinha, Arohi Parekh, Mansi Patel, Dhruvi P. Shah, Nidhi N. Shah
Keywords
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- EP ID EP490540
- DOI 10.18231/2456-9267.2018.0012
- Views 114
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