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Journal of Medical Case Reports

Enterobius vermicularis (pinworm) infestation mimicking acute appendicitis in two children from Palestine: a case report

Published in:
Authors
Issam Jawabreh
Ahmad Amro
Kifaya Azmi
Hamza Batran
Ziad Abdeen
Omar Hamarsheh
Published in
Journal of Medical Case Reports | Issue 1/2024

Abstract

Background

Pinworm, Enterobius vermicularis, is a common parasitic illness, particularly among children in Palestine. On rare occasions, it can cause serious consequences such as acute appendicitis, which can still present a challenging diagnosis especially in children.

Case presentation

This report describes two cases (a 9 year old male and a 11 year old female, both Palestinian children from Hebron district) of acute appendicitis referred to Queen Alia Hebron Governmental Hospital in Palestine. The clinical examination revealed a lower abdominal pain, and they were diagnosed with appendicitis. The pathological examination after appendectomy showed the presence of eggs and pinworms. Anthelminthic medication was provided, and they were followed up for 6 weeks after the operation without any incidents.

Conclusion

These cases highlight the importance of considering Enterobius vermicularis infestation in children with abdominal pain, as the parasites can mimic appendicitis. Prompt recognition and cautious laparoscopic appendectomy are crucial to prevent unnecessary surgery and peritoneal contamination, with the infestation being easily treatable with anthelmintic medication.
Title
Enterobius vermicularis (pinworm) infestation mimicking acute appendicitis in two children from Palestine: a case report
Authors
Issam Jawabreh
Ahmad Amro
Kifaya Azmi
Hamza Batran
Ziad Abdeen
Omar Hamarsheh
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2024
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-024-04785-9
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