Abstract Enterobius vermicularis (pinworms), the most common infection-causing helminth, may be found in patients with symptoms of appendicitis mimicking appendiceal colic. Laparoscopic appendectomy is the usual procedure to deal with such patients. Spillage of pinworms during surgery may cause complications such as pelvic inflammatory disease, peritonitis, or Enterobius granulomas. This report aimed to provide a comprehensive description of a young patient with symptoms of acute appendicitis, raised white cell count, and radiological findings of uncomplicated appendicitis. During laparoscopic appendectomy, spillage of pinworms from the distal segment prompted quick management by the removal of the appendix in specimen bag, touching of spilled worms by diathermy at low energy setting, and removal by suction. The patient was treated by mebendazole postoperatively and at 2 weeks. Recovery was uneventful, and the patient remained asymptomatic at 1-month follow-up.
Zahoor et al. (Tue,) studied this question.
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