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

Abstract

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