Enterobius vermicularis : A rare cause of appendicitis

VASILAKI, Olga; KESISOGLOU, Isaak; PAPAVRAMIDIS, Spiros; PAPAVRAMIDIS, Theodossis; KARAYANNOPOULOU, Georgia; CHEVA, Angeliki; MICHALOPOULOS, Nick; GIALAMAS, Eleftherios

Enterobius vermicularis : A rare cause of appendicitis

Eleftherios GIALAMAS, (Aristotle University of Thessaloniki, Thessaloniki, Greece)

Theodossis PAPAVRAMIDIS, (Aristotle University of Thessaloniki, Thessaloniki, Greece)

Nick MICHALOPOULOS, (Aristotle University of Thessaloniki, Thessaloniki, Greece)

Georgia KARAYANNOPOULOU, (Aristotle University of Thessaloniki, Thessaloniki, Greece)

Angeliki CHEVA, (Aristotle University of Thessaloniki, Thessaloniki, Greece)

Olga VASILAKI, (Aristotle University of Thessaloniki, Thessaloniki, Greece)

Isaak KESISOGLOU, (Aristotle University of Thessaloniki, Thessaloniki, Greece)

Spiros PAPAVRAMIDIS (Aristotle University of Thessaloniki, Thessaloniki, Greece)

Türkiye Parazitoloji Dergisi

2 1

Yıl: 2012 Cilt: 36 Sayı: 1 Sayfa Aralığı: 37 - 40 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Enterobius vermicularis : A rare cause of appendicitis

Öz:

Amaç: Apandisit, acil cerrahinin önde gelen nedenlerinden biri olmakla birlikte parazitler, apendiks inflamasyonu ile nadir olarak ilişkili bulunmaktadır. Bu çalışmanın amacı, Enterobius vermicularis in, cerrahi olarak çıkarılmış apendikslerde prevalansını saptamak ve apandisit patogenezinde olası rolünü belirlemektir. Yöntemler: Üçüncü basamak bir üniversite hastanesinde, son 20 yıl içinde opere edilmiş tüm apendikslerin retrospektif incelemesi yapıldı. Farklı bir sebeple yapılan intraabdominal cerrahi esnasında çıkarılmış olan apendiksler çalışmaya dahil edilmedi. Bulgular: Apandisit klinik şüphesi ile opere edilen olgulardan elde olunan 1085 cerrahi materyal değerlendirildi. Apandisit klinik bulgusu olan olguların yedi tanesinde (%0.65) apendikste Enterobius vermicularis saptandı. Parazite en sık olarak patolojik değişiklik görülmeyen apendikslerde rastlandı (6/117). E.vermicularis enfestasyonu olan hiç bir kronik apandisit olgusu tespit edilmedi ve parazit, nadir olarak akut apandisitin histolojik değişiklikleri ile ilişkili bulundu (1/901). Sonuç: Çalışmanın sonuçları, apendikste E. vermicularis varlığının, apendiks ile ilişkili ağrıya (kolik) neden olabileceğini ancak akut apandisitin patolojik bulguları ile nadiren ilişkili olduğunu göstermektedir.

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Genel ve Dahili Tıp Hematoloji Hücre Biyolojisi

Enterobius vermicularis : Apandisitin nadir bir nedeni

Öz:

Objective: Although appendicitis is one of the most common causes of emergency surgery, parasites are rarely found associated with inflammation of the appendix. The aim of this study is to establish the prevalence of Enterobius vermicularisin surgically removed appendices, as well as to determine its possible role in the pathogenesis of appendicitis. Methods: A retrospective analysis of all the appendices removed during the last 20 years at a tertiary university hospital. Appendices removed during the course of another intra-abdominal procedure were excluded from the study. Results: All 1085 surgical specimens removed from patients with clinical appendicitis were evaluated. Enterobius vermicularis was found in seven appendices (0.65%) with clinical symptoms of appendicitis. The parasite was most frequently identified in appendices without pathological changes (6/117). There was no case of chronic appendicitis presenting E. vermicularis infestation, while the parasite was rarely related to histological changes of acute appendicitis (1/901). Conclusion: The results suggest that the presence of E. vermicularis in the appendix might cause appendiceal pain (colic), but can rarely be associated with pathologic findings of acute appendicitis.

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Genel ve Dahili Tıp Hematoloji Hücre Biyolojisi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1.Jones PF. Suspected acute appendicitis: trends in management over 30 years. Br J Surg 2001; 88: 1570-7. [CrossRef]
2.Zielke A. Appendicitis: present-day diagnosis. Chirurg 2002;73:782-90. [CrossRef]
3.da Silva DF, da Silva RJ, da Silva MG, Sartorelli AC, Rodrigues MA. Parasitic infection of the appendix as a cause of acute appendicitis. Parasitol Res 2007; 102: 99-102. [CrossRef]
4.Dorfman S, Talbot IC, Torres R, Cardozo J, Sanchez M. Parasitic infestation in acute appendicitis. Ann Trop Med Parasitol 1995; 89: 99-101.
5.Fry FG, Morre JG. Enterobius vermicularis, 10,000-year-old human infection. Science 1969; 166: 1620. [CrossRef]
6.Sah SP, Bhadani PP. Enterobius vermicularis causing symptoms of appendicitis in Nepal. Trop Doctor 2006; 36: 160-2. [CrossRef]
7.Aydin O. Incidental parasitic infestations in surgically removed appendices: a retrospective analysis. Diagnost Pathol 2007; 2: 16. [CrossRef]
8.Sodergren MH, Jethwa P, Wilkinson S, Kerwat R. Presenting features of Enterobius vermicularis in the vermiform appendix. Scand J Gastroenterol 2009; 44: 457-61. [CrossRef]
9.Williams DJ, Dixon MF. Sex, Enterobius vermicularis and the appendix. Br J Surg 1988; 75: 1225-6. [CrossRef]
10.Budd JS, Armstrong C. Role of Enterobius vermicularis in the aetiology of appendicitis. Br J Surg 1987; 74: 748-9. [CrossRef]
11.Wiebe BM. Appendicitis and Enterobius vermicularis. Scand J Gastroenterol 1991; 26: 336-8. [CrossRef]
12.Nackley AC, Nackley JJ 2nd, Yeko TR, Gunasekaran S. Appendiceal enterobius vermicularis infestation associated with right-sided chronic pelvic pain. JSLS 2004; 8: 171-3.

APA	GIALAMAS E, PAPAVRAMIDIS T, MICHALOPOULOS N, KARAYANNOPOULOU G, CHEVA A, VASILAKI O, KESISOGLOU I, PAPAVRAMIDIS S (2012). Enterobius vermicularis : A rare cause of appendicitis. , 37 - 40.
Chicago	GIALAMAS Eleftherios,PAPAVRAMIDIS Theodossis,MICHALOPOULOS Nick,KARAYANNOPOULOU Georgia,CHEVA Angeliki,VASILAKI Olga,KESISOGLOU Isaak,PAPAVRAMIDIS Spiros Enterobius vermicularis : A rare cause of appendicitis. (2012): 37 - 40.
MLA	GIALAMAS Eleftherios,PAPAVRAMIDIS Theodossis,MICHALOPOULOS Nick,KARAYANNOPOULOU Georgia,CHEVA Angeliki,VASILAKI Olga,KESISOGLOU Isaak,PAPAVRAMIDIS Spiros Enterobius vermicularis : A rare cause of appendicitis. , 2012, ss.37 - 40.
AMA	GIALAMAS E,PAPAVRAMIDIS T,MICHALOPOULOS N,KARAYANNOPOULOU G,CHEVA A,VASILAKI O,KESISOGLOU I,PAPAVRAMIDIS S Enterobius vermicularis : A rare cause of appendicitis. . 2012; 37 - 40.
Vancouver	GIALAMAS E,PAPAVRAMIDIS T,MICHALOPOULOS N,KARAYANNOPOULOU G,CHEVA A,VASILAKI O,KESISOGLOU I,PAPAVRAMIDIS S Enterobius vermicularis : A rare cause of appendicitis. . 2012; 37 - 40.
IEEE	GIALAMAS E,PAPAVRAMIDIS T,MICHALOPOULOS N,KARAYANNOPOULOU G,CHEVA A,VASILAKI O,KESISOGLOU I,PAPAVRAMIDIS S "Enterobius vermicularis : A rare cause of appendicitis." , ss.37 - 40, 2012.
ISNAD	GIALAMAS, Eleftherios vd. "Enterobius vermicularis : A rare cause of appendicitis". (2012), 37-40.

APA	GIALAMAS E, PAPAVRAMIDIS T, MICHALOPOULOS N, KARAYANNOPOULOU G, CHEVA A, VASILAKI O, KESISOGLOU I, PAPAVRAMIDIS S (2012). Enterobius vermicularis : A rare cause of appendicitis. Türkiye Parazitoloji Dergisi, 36(1), 37 - 40.
Chicago	GIALAMAS Eleftherios,PAPAVRAMIDIS Theodossis,MICHALOPOULOS Nick,KARAYANNOPOULOU Georgia,CHEVA Angeliki,VASILAKI Olga,KESISOGLOU Isaak,PAPAVRAMIDIS Spiros Enterobius vermicularis : A rare cause of appendicitis. Türkiye Parazitoloji Dergisi 36, no.1 (2012): 37 - 40.
MLA	GIALAMAS Eleftherios,PAPAVRAMIDIS Theodossis,MICHALOPOULOS Nick,KARAYANNOPOULOU Georgia,CHEVA Angeliki,VASILAKI Olga,KESISOGLOU Isaak,PAPAVRAMIDIS Spiros Enterobius vermicularis : A rare cause of appendicitis. Türkiye Parazitoloji Dergisi, vol.36, no.1, 2012, ss.37 - 40.
AMA	GIALAMAS E,PAPAVRAMIDIS T,MICHALOPOULOS N,KARAYANNOPOULOU G,CHEVA A,VASILAKI O,KESISOGLOU I,PAPAVRAMIDIS S Enterobius vermicularis : A rare cause of appendicitis. Türkiye Parazitoloji Dergisi. 2012; 36(1): 37 - 40.
Vancouver	GIALAMAS E,PAPAVRAMIDIS T,MICHALOPOULOS N,KARAYANNOPOULOU G,CHEVA A,VASILAKI O,KESISOGLOU I,PAPAVRAMIDIS S Enterobius vermicularis : A rare cause of appendicitis. Türkiye Parazitoloji Dergisi. 2012; 36(1): 37 - 40.
IEEE	GIALAMAS E,PAPAVRAMIDIS T,MICHALOPOULOS N,KARAYANNOPOULOU G,CHEVA A,VASILAKI O,KESISOGLOU I,PAPAVRAMIDIS S "Enterobius vermicularis : A rare cause of appendicitis." Türkiye Parazitoloji Dergisi, 36, ss.37 - 40, 2012.
ISNAD	GIALAMAS, Eleftherios vd. "Enterobius vermicularis : A rare cause of appendicitis". Türkiye Parazitoloji Dergisi 36/1 (2012), 37-40.