Inguinal Hernia in an Infant Containing Uterus, Bilateral Fallopian Tubes and Ovaries.

Infants are frequently diagnosed with an inguinal hernia. The hernia can contain intestinal structures or in female infants even the reproductive organs. However it is very exceptional that an inguinal hernia contains the entire uterus, fallopian tubes and both ovaries. In this report a case is described of a two-month-old infant which was diagnosed and semi-urgently operated with a right sided inguinal hernia containing all the aforementioned anatomical structures.

Appendicitis-like clinical image elicited by Enterobius vermicularis: case report and review of the literature.

A 17-year-old female patient presented with the clinical features of an acute appendicitis. During laparoscopic exploration a macroscopically normal appendix was found. Since there were no intra-abdominal abnormalities found, the appendix was resected. Anatomopathology demonstrated Enterobius vermicularis, a pinworm infecting only humans, and mostly living in the caecum. This parasite is responsible for possibly the most common helminthic infection in the developed world. Its role in the pathogenesis of acute appendicitis is controversial, but more recent studies indicate a stronger association between enterobiasis and appendicitis. Often, enterobius mimics appendicitis by obstructing the lumen of the appendix, thereby causing appendiceal colic. This case report stresses the importance of microscopic examination of all appendectomy resection specimens. In case of enterobius infestation, systemic therapy of patient and family is necessary.