Gastrointestinal pathology: Small intestine: Carcinoid

01 January 2012
Presented by Simon Cross.

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Acute appendicitis (Ascaris lumbricoides)

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An operative resection specimen removed from a child of seven years of age who was admitted to the N.I.O.C. Hospital in Abadan with a typical history of acute appendicitis. On delivery of the appendix and caecum via a "grid iron" incision the latter was found to be full of round worms (Ascaris Lumbricoides). Appendicectomy was performed by a circular incision into the caecum at the base of the appendix, this allowed the specimen to be excised intact with its contents and at least 100 worms to be removed from the caecum. The patient made a good recovery.

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