Clinicopathological evaluation of parasitic infections in appendectomy specimens

Authors : Murat KARTAL, Tolga KALAYCI, Yaşar ÇÖPELCİ, Ali KURT

Pages : 40-46

Doi:10.47482/acmr.1141714

View : 10 | Download : 6

Publication Date : 2023-01-31

Article Type : Research Paper

Abstract :Background: This study aimed to determine the incidence of parasitic infections in adult patients who underwent appendectomy and to evaluate the clinicopathological features of parasitic infections in appendectomy specimens. Methods: Patients who underwent appendectomy between January 2018 and December 2019 with a pre-diagnosis of acute appendicitis insert ignore into journalissuearticles values(AA); and reported parasitic infection in appendectomy specimens were evaluated retrospectively. Demographic data, comorbidities, clinical and radiological findings, laboratory results, surgical methods, length of hospital stay, postoperative complications, and histopathological examination reports were analyzed. Results: 939 adult patients underwent appendectomy with a pre-diagnosis of AA. Upon detecting parasitic infection in the histopathological examination, thirty-one insert ignore into journalissuearticles values(3.3%); patients were included in this study. Twenty insert ignore into journalissuearticles values(64.5%); patients were women, and the overall mean age was 31.9 years insert ignore into journalissuearticles values(18-70 years);. Twenty-three insert ignore into journalissuearticles values(74.2%); patients had Enterobius vermicularis, and 8 insert ignore into journalissuearticles values(25.8%); patients had Tenia saginata. On laboratory examination, the mean percentage of monocytes was only higher in the Taenia saginata group insert ignore into journalissuearticles values(0.80 vs. 0.66; p=0.039);. Both ultrasonography findings and tomography findings were similar in both groups. The morbidity rate of the study was 12.9% insert ignore into journalissuearticles values(n=4);. There was no difference between the two groups regarding the length of hospital stay and morbidity. Conclusions: Parasitic infections may cause symptoms mimicking acute appendicitis. It should be kept in mind that even in patients with a diagnosis of parasitic intestinal infection, symptoms may have been caused by acute appendicitis, not solely due to parasitic infection.
Keywords : Appendectomy, Enterobius vermicularis, Taenia saginata