Acute eosinophilic appendicitis caused by Taenia saginata: A case report. (April 2021)

• Record Type: Journal Article
• Authors: Sharifdini, Meysam; Nematdoost, Khadijeh; Shafiei, Reza; Teimouri, Aref
• Is Part Of: Annals of medicine and surgery. Volume 64(2021)
• Publication Date: 2021-04
• Subjects: Acute eosinophilic appendicitis -- Taenia saginata -- Intestinal worms -- Endometrium cysts -- Iran -- Case report; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2021.102241
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Introduction: The role of parasites in the pathogenesis of appendicitis has been debated for a long time. To date, several gastrointestinal parasites have been reported as the causes of appendicitis in humans. Taenia infestation of the appendix is uncommon and few cases have been reported in the literature. Presentation of case: We reported a case of acute eosinophilic appendicitis (AEA) in a 42-year-old woman caused by T. saginata in northern Iran. The patient was admitted to the emergency department with a 2-day history of acute abdominal pain in her lower right quadrant. Abdominal ultrasonography showed intra-abdominal bleeding and endometrium cysts. Routine hematological tests showed increases in white blood cell (WBC) count of 19.8 × 10 3 per mcL with 3% eosinophilia. During abdominal laparotomy, peritoneal fluid was bulked with abdominal bleeding due to rupture of the uterine cyst. After investigation of inflammation in the appendix region, patient underwent appendectomy. Histopathological findings showed acute inflammation with eosinophils and a large number of round eggs with flattened segments of the genus Taenia . It is impossible to distinguish between T. saginata and T. solium based solely on egg morphology in the specimens. Therefore, based on history of the patient, which included no consumption of pork, the species was identified as T. saginata . At the three months follow-up, the patient was in good health. Conclusion: In the current study, a case of AEA by T. saginata was reported. However, this was not the first case of acute appendicitis by T. saginata . Further studies are necessary to show roles of parasites in pathogenesis of AEA. Highlights: T. saginata is distributed globally, and more frequent in developing countries. Taenia infestation of the appendix is uncommon and few cases have been reported in the literature. In the current study, a case of acute eosinophilic appendicitis caused by T. saginata was reported.