Ergin ARSLAN, Kasım ÇAĞLAYAN, Uğur ERCAN, Emel Kıyak ÇAĞLAYAN, Sevinç ŞAHİN, Mustafa Yaşar ÖZDAMAR

AKUT APANDİSİT’İN NADİR GÖRÜLEN BİR NEDENİ: ENTEROBİUS VERMİCULARİS

ÖZETEnterobius vermicularis (E. vermicularis) çekum ve appendikste yerleşim gösteren, dünya çapında yaygın bir parazittir. 35 yaşındaki kadın hasta ani başlayan sağ alt kadran ağrısı ile acil servise başvurdu. Fizik muayenesinde sağ iliak fossa hassasiyeti mevcuttu, laboratuar tetkiklerinde lökositoz saptanmadı. Laparoskopik apendektomi uygulanan hastanın yapılan patolojik incelemesi appendiks lümeninde E. vermicularis varlığını gösterdi. Bu çalışmamızda apandisitin nadir nedenlerinden olan E. vermicularis’in neden olduğu bir akut apandisit olgusu sunulmuşturAnahtar kelimeler: Apandisit, apendektomi, Enterobius vermicularis ABSTRACTEnterobius vermicularis (E. vermicularis) is a common parasite worldwide, settled in the appendiceal and cecum. 35-year-old woman was admitted to the emergency department with sudden onset of right lower quadrant pain. Right iliac fossa tenderness on physical examination were present, no significant leukocytosis and laboratory findings. Pathological examination of patient who underwent laparoscopic appendectomy showed the presence of E. vermicularis in the appendix lumen. In this study, we presented an acute appendicitis case caused by E. vermicularis which is one of the rare causes of appendicitisKey words: Appendicitis, appendectomy, Enterobius vermicularis

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KAYNAKLAR
Flum DR, Koepsell T: The clinical and economic correlates of misdiagnosed appendicitis: Nationwide analysis. Arch Surgk 137:799- 804; discussion 804, 2002
Andersson, R., Hugander, A., Thulin. A., Nystrom, P.O. & Olaison, G. (1995). Cluster of acute appendicitis: further evidence for an infectious aetiology. International Journal of Epidemiology 24: 829-33.
Guo, Y., Xiao, S.Y., Yan, H., Sun, N.D., Jiang, M.S. & Liu, D.Y. (2004). Cluster of acute hemorrhagic appendicitis among high school students in Wuhan, China. American Journal of Surgery 188: 115-21
Aydin O: Incidental parasitic infestations in surgically removed appendices: a retrospective analysis. DiagnosticPathology 2007, 2:16
Sah SP, Sah SP, Bhadani PP: Enterobius vermicularis causing symptoms of appendicitis in Nepal.Trop Doct 2006, 36:160-162.
Goldman DA, Wilson CM. Pinworminfestations. Primarypediatriccare 3. Edition. Hoekelman RA. St Louis: Mosby 1997;1519
David Elliot: Intestinal Worms. In Sleisenger and Fortdtran's Gastrointestinal and liver disease Volume 2. 8th edition. Edited by: Feldman M, Friedman L, Brandt L. Philadelphia: Elsevier Sauders; 2006:2442-2443.
Kurt A, Çalık İ, Ömeroğulları Şener E, Akalp Özmen S, Gelincik İ. Appendektomi materyallerinde E. vermicularis. Van Tıp Dergisi 2012; 19(2):51-54
Sodergren MH, Jethwa P, Wilkinson S, Kerwat R. Presenting features of Enterobius vermicularis in the vermiform appendix. Scand J Gastroenterol 2009; 44: 457-61.
De Silva DF, Da Silva RJ, Da Silva MG, Sartorelli AC, Rodrigues MA: Parasitic infection of the appendix as a cause of acute appendicitis.ParasitolRes 2007, 102:99-102
Wiebe BM: Appendicitis and Enterobius vermicularis.Scand J Gastroenterol 1991, 26:336-8.
Ramezani MA, Dehghani MR: Relationship between Enterobius vermicularis and the incidence of acute appendicitis.SoutheastAsian J Trop MedPublicHealth 2007, 38:20-3
Yildirim S, Nursal TZ, Tarim A, Kayaselcuk F, Noyan T. A rare cause of acute appendicitis: parasitic infection. Scand J Infect Dis 2005; 37(10):757-759.
Dahlstrom JE, Macarthur EB. Enterobius vermicularis: a possible cause of symptoms resembling appendicitis. Aust N Z J Surg 1994; 64(10):692-694.
Gatti S, Lopes R, Cevini C, Ijaoba B, Bruno A, Bernuzzi AM, et al. Intestinal parasitic infections in an institution for the mentally retarded. Ann Trop Med Parasitol 2000; 94(5):453-460.
Surmont I, Liu LX. Enteritis, eosinophilia, and Enterobius vermicularis. Lancet 1995; 346(8983):1167.