Acute appendicitis - possibly secondary to ascariasis

Case contributed by Dr Fazel Rahman Faizi


Right lower quadrant pain, nausea and vomiting with neutrophilic leukocytosis

Patient Data

Age: 15 years
Gender: Male

A blind-ending non-compressible tubular structure with mural vascularity and significant surrounding inflammatory changes was noted in the right iliac fossa suggesting acute appendicitis. A tubular hypoechoic structure with parallel echogenic lines is seen within the lumen of the appendix may represent an Ascaris worm.

Case Discussion

The features are consistent with acute appendicitis, and appearances suggest the presence of an Ascaris worm.

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Case information

rID: 66709
Published: 3rd Mar 2019
Last edited: 19th Dec 2020
Inclusion in quiz mode: Included

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