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Monday, February 06 2012 @ 06:43 PM CST

8 year old girl with right lower abdominal pain

8 year old girl presents with right lower abdominal pain, diarrhea for about 10 days and subfebrile temperature.

The clinical diagnosis was acute appendicitis and she underwend appendectomy.


Grossly the appendix was unremarkable.

Sections are submited from the tip of the appendix and cross sections.

Magnification:  4x, 10x, 40x

DX: Click here

Diagnosis: Nematodes. Enterobius vermicularis.
How to handle such case:
- If you have a kid with clinical diagnosis of acute appendicitis and no pathologic corelation (no acute inflamation) look for the wormies.
DIAGNOSIS

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4 comments

The following comments are owned by whomever posted them. This site is not responsible for what they say.
Authored by: Anonymous User on Wednesday, October 05 2011 @ 10:45 AM CDT 8 year old girl with right lower abdominal pain
So, this poor girl went through an entirely unnecessary operation, purely on the bases of an incorrect diagnosis? This just goes to show how important it is to always look closer. Never assume that a diagnosis is correct based on the initial findings, you need to be absolutely sure before you act on it. Life alert
Authored by: Great....... on Thursday, October 27 2011 @ 04:44 AM CDT Great.......
I have been searching for some information about it almost three hours. You helped me a lot indeed and reading this your article I have found many new and useful information about this subject. arthritis treatments
Authored by: Historical Swords on Friday, October 28 2011 @ 07:25 AM CDT Historical Swords
where there is a lot of trash. Thanks for posting such articles! Historical Swords
Authored by: Bangladesh Inspection on Friday, November 04 2011 @ 07:40 AM CDT Bangladesh Inspection
The clinical diagnosis was acute appendicitis and she underwend appendectomy. Bangladesh Inspection

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