Appendiceal ascariasis in children.

Abstract:

BACKGROUND:The propensity of Ascaris lumbricoides to wander leads to varied surgical complications in the abdomen. Wandering A lumbricoides may sometimes reach the vermiform appendix and its presence there may remain silent or incite pathology. Our aim was to study ascariadial appendicitis. METHODS:Over a period of 3 years, we identified children who were found to have appendiceal ascariasis during surgery for different intestinal complications due to ascariasis. We studied the relationship between ascariasis and its lodgement inside the vermiform appendix in these patients. No preoperative diagnosis was made in this series. RESULTS:We found 11 patients with appendiceal ascariasis. It was incidentally found that 8/11 (72.7%) patients had worms inside their vermiform appendix but not appendicitis, whereas the remaining three patients (27.2%) were found to have Ascaris-associated appendicitis. The characteristic finding in Ascaris-infested vermiform appendix was that the worm is positioned with its head at the base and its tail at the tip of the appendix. CONCLUSION:Migration of A lumbrocoides inside the vermiform appendix is an incidental finding and tends to pursue a silent course in most patients. Only rarely does the presence of Ascaris inside the vermiform appendix cause appendicitis.

journal_name

Ann Saudi Med

journal_title

Annals of Saudi medicine

authors

Wani I,Maqbool M,Amin A,Shah F,Keema A,Singh J,Kitagawa M,Nazir M

doi

10.4103/0256-4947.59380

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

63-6

issue

1

eissn

0256-4947

issn

0975-4466

pii

AnnSaudiMed_2010_30_1_63_59380

journal_volume

30

pub_type

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