Acute appendicitis related to Enterobius vermicularis infestation in a geriatric patient: a case report and literature review

Joana C. Domingues; José F. Mineiro

doi:10.18203/2349-2902.isj20253849

Authors

Joana C. Domingues Department of General Surgery, Unidade Local de Saúde do Médio Tejo, Tomar, Portugal https://orcid.org/0000-0001-8231-3040
José F. Mineiro Department of General Surgery, Unidade Local de Saúde do Médio Tejo, Tomar, Portugal

DOI:

https://doi.org/10.18203/2349-2902.isj20253849

Keywords:

Enterobius vermicularis, Acute appendicitis, Appendectomy, Pinworms

Abstract

Acute appendicitis (AA) is a common surgical emergency with a multifactorial aetiology, rarely associated with intestinal parasites. This report highlights the case of a 93-year-old female who developed AA in association with Enterobius vermicularis (EV), a rare finding in this age group. The patient underwent successful laparoscopic appendectomy followed by antiparasitic therapy, with a favourable outcome. Parasitosis may mimic typical AA or represent a coincidental finding. This case emphasizes the importance of considering parasitosis in the differential diagnosis of AA, especially in atypical presentations or when contemplating non-surgical management. Laparoscopic appendectomy with antiparasitic treatment remains the standard of care.

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