Incidental Enterobius Vermicularis infestation in surgically removed appendices with a clinical diagnosis of acute appendicitis: A retrospective analysis

Background: Appendiceal parasites can cause symptoms of appendicitis. Although the symptomatology imitates acute appendicitis clinically, the true nature of disease is diagnosed through histological examination. The aim of this study is to therefore determine the prevalence of E. Vermicularis in appendicectomy specimens to relate this to acute inflammation histologically.Materials & Methods: Histological data on all appendectomy specimens with a clinical diagnosis of acute appendicitis were retrieved from the archives of department of pathology, B.P.K.I.H.S, over the period of five years (January 2004- December 2008) and was analyzed retrospectively.Results: There were a total of 1528 patients. M:F ratio being 1.2:1.Inflamed appendix constituted for 94.24% of all cases. There were a total of six (0.39%) appendicectomy specimens which showed presence of oxyuriasis appendix. Though all patients with oxyuriasis presented with appendicial colic only one (1) out of the six cases of oxyuriasis showed histologic evidence of inflammation. Conclusion: We conclude that enterobius does not frequently cause inflammation of appendix though it may clinically mimic acute appendicitis. Since it represents a disease curable without necessitating surgery, symptomatology awareness is stressed upon.Journal of Pathology of Nepal (2015) Vol. 5, 720-722

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INCIDENCE OF ENTEROBIUS VERMICULARIS INFESTATION IN APPENDICECTOMY SPECIMENS WITH CLINICAL DIAGNOSIS OF ACUTE APPENDICITIS.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i6.1260 ◽

2020 ◽

Vol 4 (6) ◽

Author(s):

Hena Tabassum ◽

Manoj Kumar Ray

Keyword(s):

Acute Appendicitis ◽

Clinical Diagnosis ◽

Careful Examination ◽

Age Group ◽

Histological Findings ◽

Enterobius Vermicularis ◽

Younger Age ◽

Abdominal Colic ◽

High Index Of Suspicion ◽

Office Software

Objectives: This present study was to evaluate the incidence and clinical infestation of Enterobius vermicularis in acute appendicitis patients. Methods: A total of 62 appendectomy specimen with a clinical diagnosis of acute appendicitis of patients with age group 1year to greater than 50 years with irrespective of sexes were enrolled in this study. Results: Data was analysed by using simple statistical methods with the help of MS-office software. Majority of patients 34(54.84%) were belonged in age group of 21-30 years. Second common age 20(32.26%) group was 11-20 years. Most of the patients were females 49(79%). Histological findings of specimen shown that specimen had 28(45.16%) acute with periappendicitis, 10(16.13%) acute appendicitis. 8(12.90%) Vermiform, 7(11.29%) receeding appendicitis, 5(8.06%) gangrenous appendicitis and 4(6.45%) oxuyriasis. Conclusions: Enterobius vermicularis infection was commonly seen in second to third decades of life. Females were more preponderance than males. Acute with periappendicitis was the commonest histological findings of specimen. And hence, E. vermicularis infection can be controlled by anthelminthic treatment, yet very unfortunately patients undergo an appendicectomy. An awareness and a high index of suspicion is required since these patients generally have multiple previous visits to the hospital with abdominal discomfort before an acute abdomen that requires surgery. Careful examination and symptomatology awareness, blood examination especially in younger age group should aware surgeon of possible cause of abdominal colic. Keywords: Enterobius vermicularis, Acute appendicitis, Appendicectomy, Age group, Gender

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Schistosomal Appendicitis in Pregnancy

Swiss Surgery ◽

10.1024/1023-9332.8.3.121 ◽

2002 ◽

Vol 8 (3) ◽

pp. 121-122 ◽

Cited By ~ 9

Author(s):

Halkic ◽

Abdelmoumene ◽

Gintzburger ◽

Mosimann

Keyword(s):

Acute Appendicitis ◽

Schistosoma Haematobium ◽

Acute Inflammation ◽

The Body ◽

Parasitic Infections ◽

Common Complication ◽

Surgical Infection ◽

High Prevalence ◽

Potential Challenge ◽

In Pregnancy

Acute appendicitis is the most common acute surgical infection during pregnancy. Although usually pyogenic in origin, parasitic infections account for a small percentage of cases. Despite the relatively high prevalence of acute appendicitis in our environment, it is not commonly associated with schistosomiasis. We report here the association of pregnancy and appendicitis caused by Schistosoma haematobium. Schistosomiasis is very common complication of pregnancy in hyperendemic areas. Schistosome egg masses can lodge throughout the body and cause acute inflammation of the appendix, liver and spleen. Congestion of pelvic vessels during pregnancy facilitates passage of eggs into the villi and intervillous spaces, causing an inflammatory reaction. Tourism and immigration make this disease a potential challenge for practitioners everywhere.

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TO DETERMINE THE ROLE OF CA125 IN THE DIAGNOSIS OF ACUTE APPENDICITIS

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i7.1276 ◽

2020 ◽

Vol 4 (7) ◽

Author(s):

Vinod Kumar ◽

Bhupen Songra ◽

Richa Jain ◽

Deeksha Mehta

Keyword(s):

Acute Appendicitis ◽

Clinical Diagnosis ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Ca 125 ◽

Care Hospital ◽

Serum Samples ◽

Roc Curve Analysis ◽

Surgery Department

Background: the present study was under taken to determine the role of CA-125 in the diagnosis of acute appendicitis (AA), to prevent its complications and also in preventing negative appendicectomies in tertiary care hospital. Methods: The study was conducted at a tertiary care and research center between 01/03/2018 to 30/06/2019. Patients admitted to the surgery department with diagnosis of AA were considered for the study. After informed consent, a, standardized history was obtained as a case Performa. Serum samples from all the cases with clinical diagnosis of AA were obtained and stored. Only the cases with histopathologically approved AA were included in the study. Cases operated for clinical diagnosis of AA, but not histopathologically proven AA was not included in the study. CA125 levels in cases with definitive diagnosis of AA were measured. Results: In present study, ROC curve analysis revealed the sensitivity of 87.27 % and specificity of 90.91 % when the CA 125 cut-off value of > 16.8 was taken to diagnose acute appendicitis. AUC was 0.911 with a standard error of 0.0292. Conclusion: In this study we have observed that CA125 showed a positive correlation with acute appendicitis, that was statistically not significant (P>0.05). We didn’t evaluate the correlation with the disease severity. We consider that CA125 can be used as a marker in acute appendicitis cases although further research is still needed. Keywords: CA125, Acute Appendicitis, Surgery.

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Unusual histopathological findings in appendectomy specimens with clinical diagnosis of acute appendicitis: A retrospective cohort analysis

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.102720 ◽

2021 ◽

pp. 102720

Author(s):

Hamzeh Al-Balas ◽

Mahmoud Al-Balas ◽

Raith S. Al-Saffar ◽

Mohammad K.M. Al-Wiswasy ◽

Ala'a Abu Salhiyeh ◽

...

Keyword(s):

Acute Appendicitis ◽

Clinical Diagnosis ◽

Retrospective Cohort ◽

Cohort Analysis ◽

Histopathological Findings ◽

Retrospective Cohort Analysis

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EP.FRI.479 Clinical accuracy of u/sound combined with inflammatory markers in Acute Appendicitis

British Journal of Surgery ◽

10.1093/bjs/znab312.080 ◽

2021 ◽

Vol 108 (Supplement_7) ◽

Author(s):

Nadia Gulnaz ◽

Sadia Tasleem ◽

Farooq Abdullah

Keyword(s):

Acute Appendicitis ◽

Clinical Diagnosis ◽

Inflammatory Markers ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Negative Appendectomy ◽

Care Hospital ◽

Clinical Accuracy ◽

Negative Appendicectomy ◽

Sensitivity Specificity

Abstract Traditionally acute appendicitis has been a clinical diagnosis based on patients' history and physical examination, but the accuracy of clinical diagnosis ranges from 70-95%. Pre-operative diagnosis of acute appendicitis still remains an enigmatic challenge, because no single test alone can reduce the rate of negative appendectomy. Hence some authors have recommended a combination of two or more investigations to increase accuracy and therefore the use of imaging is gaining support. The objective of the study was to determine the clinical accuracy of ultrasound, combined with inflammatory markers such as CRP, WBC, and neutrophilia keeping histopathology as the gold standard. Methods The study was conducted in a Tertiary care hospital in Peshawar from September 2014 to March 2015 on 250 patients who were clinically diagnosed with acute appendicitis. All these patients underwent u/sound scanning in addition to blood tests. Findings In this study, WBC had the highest sensitivity (77.68%) followed by neutrophil% (69.96%), CRP(67.10%), and U/Sound (62.96%) respectively. While U/Sound had the highest specificity (70.59%) followed by CRP and TLC (64.71% each) and neutrophil% (58.82%) respectively. When all the four tests were combined the sensitivity, specificity, (99.17% and 98.45%) increased significantly. When all four tests were negative, appendicitis could be safely ruled out. Conclusion Acute appendicitis is very unlikely and surgery can be safely deferred in these patients when all tests are negative thereby reducing the negative appendicectomy rates.

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CONDITION OF FETOPLACENTIAL COMPLEX IN PATIENTS AFTER APPLICATION OF ART

Reproductive Medicine ◽

10.37800/rm2020-1-3 ◽

2020 ◽

pp. 7-13

Author(s):

S.Sh. Issenova ◽

G.Zh. Bodykov ◽

A.S. Shukirbaeva ◽

M.O. Kubesova ◽

L. Ziyat ◽

...

Keyword(s):

Blood Flow ◽

Cardiac Surgery ◽

Retrospective Analysis ◽

Histological Examination ◽

The State ◽

Placental Insufficiency ◽

Archival Material ◽

Spontaneous Pregnancy ◽

Comparative Group ◽

Inflammatory Changes

A retrospective analysis was carried out according to the archival material of the center of perinatology and pediatric cardiac surgery in Almaty for 2017-2018. The analysis was carried out in 2 groups: the main group - 250 histories of women giving birth after IVF and the comparative group - 250 histories of women giving birth to spontaneous pregnancy. The condition of the feto-placental complex was assessed by studying the data of ultrasound, Dopplerometry, CTG, histological examination. The study shows that in women after the use of ART, the absence of pronounced blood flow disorders in the mother-placenta-fetus system according to Dopple-rometry is important and significant, which contributes to the favorable course of pregnancy and the state of the fetus, as well as the presence of morphological signs of placental insufficiency in 68% of cases inflammatory changes in the placenta in 57% of cases of varying severity.

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