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Journals / Türkiye Parazitoloji Dergisi / 2019 / Cilt: 43 - Sayı: 1

Findings in Appendectomies with Enterobius vermicularis Infection: Pinworm Is Not A Cause of Appendicitis

Enterobius vermicularis Enfeksiyonu Olan Appendektomilerde Bulgular: Kıl Kurdu Apendisit Nedeni Değil

Musa ABEŞ
Serap İŞLER
Sabri ÖZDAŞ
Bilge AYDIN TÜRK
Burçin PEHLİVANOĞLU
Pages
21–25
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Fibrous obliteration was seen in 4 patients and it was correlated with age and eosinophil count in lamina propria p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To evaluate the histopathological findings in appendectomy materials with E. vermicularis infection.
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Key Findings & Data:Methods: Appendectomy materials with E. vermicularis infection of 24 cases were evaluated for the presence of acute inflammation, congestion, hemorrhage, perforation, lymphoid hyperplasia (LH), necrosis, granuloma, fecalith, obliteration, hyalinization, eosinophilic infiltration and mucosal architectural distortion.
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Conclusion & Impact:Fibrous obliteration was seen in 4 patients and it was correlated with age and eosinophil count in lamina propria p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: To evaluate the histopathological findings in appendectomy materials with E. vermicularis infection. Methods: Appendectomy materials with E. vermicularis infection of 24 cases were evaluated for the presence of acute inflammation, congestion, hemorrhage, perforation, lymphoid hyperplasia (LH), necrosis, granuloma, fecalith, obliteration, hyalinization, eosinophilic infiltration and mucosal architectural distortion. Results: The frequency of E. vermicularis among 3222 appendectomies that were scanned for the study was 0.74% (24/3222). Female: male ratio was 1:1 and the median age was 12±9.34 years. The most common findings were LH (100%), and congestion (91.7%) Acute inflammation was found in one third (n=8), with phlegmonous inflammation and/or periappendicitis in 4 of them. The patients with periappendicitis were significantly younger (mean age 4 vs. 14.2 years, p=0.008). Feces was present in the lumen in 79.1% of the patients (fecalith in 25%, soft feces in 29.1% and feces mixed with blood and/or suppuration in 25%). In 6 cases (25%), only E. vermicularis was observed in the lumen, with acute appendicitis in 2 of them. Appendiceal lumen was completely obstructed in 12.5% (n=3), while it seemed narrow due to extensive LH in 3 (12.5%) cases. Fibrous obliteration was seen in 4 patients and it was correlated with age and eosinophil count in lamina propria p

Özet

Amaç: Bu çalışmada, E. vermicularis enfeksiyonu ile karşılaşılan apendektomi materyallerinde histopatolojik bulgularındeğerlendirilmesi amaçlanmıştır.Yöntemler: E. vermicularis enfeksiyonu ile karşılaşılan 24 olgunun apendektomi materyalleri; akut yangı, konjesyon, perforasyon,lenfoid hiperplazi (LH), nekroz, granülom, fekalit, obliterasyon, hyalinizasyon, eozinofil infiltrasyonu ve mukozal arşitektüreldüzensizlik varlığı açısından yeniden değerlendirilmiştir.Bulgular: Çalışma için taranan 3222 apendektomi materyalinde E. vermicularis sıklığı %0,74 idi (24/3222). Kadın: erkek oranı1:1, median yaş 12±9,34 idi. En sık bulgular LH (%100) ve konjesyon (%91,7) idi. Akut yangı olguların sadece 1/3’ünde mevcuttu(n=8); bunların 4’ünde flegmonöz yangı ve/veya periapendisit görüldü. Periapendisit olan olgular daha gençti (ortalama yaş 4 vs.14.2, p=0,008). Olguların çoğunda (%79,1) lümende feçes saptandı (fekalit %25, yumuşak feçes %29,1 ve kan ve/veya süpürasyonlakarışık feçes %25). Altı olguda (%25) lümende yalnızca E. vermicularis gözlendi ve bunların yalnızca ikisinde akut apendisit vardı.Apendiks lümeni 3 olguda (%12,5) tamamen tıkalıyken 3 olguda (%12,5) yaygın LH nedeniyle lümen görece dardı. Dört olgudagörülen fibröz obliterasyon ile yaş ve lamina propriadaki eozinofil sayısı arasında anlamlı ilişki bulundu (p

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Cite This Article

ABEŞ, M., İŞLER, S., ÖZDAŞ, S., TÜRK, B. A., PEHLİVANOĞLU, B. (2022). Findings in Appendectomies with Enterobius vermicularis Infection: Pinworm Is Not A Cause of Appendicitis. Türkiye Parazitoloji Dergisi, Cilt: 43 - Sayı: 1, 21–25. https://ajindex.com/articles/630014

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