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Right Testicular Artery Occlusion and Acute Appendicitis by Angiostrongylus costaricensis

Introduction. Angiostrongylus costaricensis is a nematode from the superfamily Metastrongyloidea, whose etymology is “roundworm that lives in blood vessels”. This parasite can be found from the southern United States to northern Argentina and southern Brazil. In 1983, Morera and Ruiz published the f...

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Autores principales: Sánchez-Sierra, Luis Enrique, Martínez-Quiroz, Roberto Antonio, Antúnez, Héctor S., Cabrera-Interiano, Humberto, Barrientos-Melara, Fernando Josué
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732605/
https://www.ncbi.nlm.nih.gov/pubmed/31534812
http://dx.doi.org/10.1155/2019/5670802
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author Sánchez-Sierra, Luis Enrique
Martínez-Quiroz, Roberto Antonio
Antúnez, Héctor S.
Cabrera-Interiano, Humberto
Barrientos-Melara, Fernando Josué
author_facet Sánchez-Sierra, Luis Enrique
Martínez-Quiroz, Roberto Antonio
Antúnez, Héctor S.
Cabrera-Interiano, Humberto
Barrientos-Melara, Fernando Josué
author_sort Sánchez-Sierra, Luis Enrique
collection PubMed
description Introduction. Angiostrongylus costaricensis is a nematode from the superfamily Metastrongyloidea, whose etymology is “roundworm that lives in blood vessels”. This parasite can be found from the southern United States to northern Argentina and southern Brazil. In 1983, Morera and Ruiz published the first case of a testicular artery occlusion by A. costaricensis. Case Presentation. A five year old boy presented with eight days of pain, denying trauma backgrounds and followed with an increase of volume. The treatment was a right simply orchiectomy, finding necrosis of the testicle, the biopsy showed reddish-purple aspect and soft consistency. Histologic studies reveled the presence of a worm inside the testicular artery. Conclusion. The diagnosis of A. costaricensis infection should be considered in all pediatric patients, with signs and symptoms of orchitis or acute abdomen, from endemic areas, may cause occlusion of the testicular artery and appendicular artery causing testicular and cecal appendix necrosis, respectively, even putting the patient's life at risk. The diagnosis is complex, because the clinical manifestations are similar to an orchitis or acute abdomen, therefore, the definitive diagnosis is made during the surgical intervention and histopathological study.
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spelling pubmed-67326052019-09-18 Right Testicular Artery Occlusion and Acute Appendicitis by Angiostrongylus costaricensis Sánchez-Sierra, Luis Enrique Martínez-Quiroz, Roberto Antonio Antúnez, Héctor S. Cabrera-Interiano, Humberto Barrientos-Melara, Fernando Josué Case Rep Surg Case Report Introduction. Angiostrongylus costaricensis is a nematode from the superfamily Metastrongyloidea, whose etymology is “roundworm that lives in blood vessels”. This parasite can be found from the southern United States to northern Argentina and southern Brazil. In 1983, Morera and Ruiz published the first case of a testicular artery occlusion by A. costaricensis. Case Presentation. A five year old boy presented with eight days of pain, denying trauma backgrounds and followed with an increase of volume. The treatment was a right simply orchiectomy, finding necrosis of the testicle, the biopsy showed reddish-purple aspect and soft consistency. Histologic studies reveled the presence of a worm inside the testicular artery. Conclusion. The diagnosis of A. costaricensis infection should be considered in all pediatric patients, with signs and symptoms of orchitis or acute abdomen, from endemic areas, may cause occlusion of the testicular artery and appendicular artery causing testicular and cecal appendix necrosis, respectively, even putting the patient's life at risk. The diagnosis is complex, because the clinical manifestations are similar to an orchitis or acute abdomen, therefore, the definitive diagnosis is made during the surgical intervention and histopathological study. Hindawi 2019-08-27 /pmc/articles/PMC6732605/ /pubmed/31534812 http://dx.doi.org/10.1155/2019/5670802 Text en Copyright © 2019 Luis Enrique Sánchez-Sierra et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sánchez-Sierra, Luis Enrique
Martínez-Quiroz, Roberto Antonio
Antúnez, Héctor S.
Cabrera-Interiano, Humberto
Barrientos-Melara, Fernando Josué
Right Testicular Artery Occlusion and Acute Appendicitis by Angiostrongylus costaricensis
title Right Testicular Artery Occlusion and Acute Appendicitis by Angiostrongylus costaricensis
title_full Right Testicular Artery Occlusion and Acute Appendicitis by Angiostrongylus costaricensis
title_fullStr Right Testicular Artery Occlusion and Acute Appendicitis by Angiostrongylus costaricensis
title_full_unstemmed Right Testicular Artery Occlusion and Acute Appendicitis by Angiostrongylus costaricensis
title_short Right Testicular Artery Occlusion and Acute Appendicitis by Angiostrongylus costaricensis
title_sort right testicular artery occlusion and acute appendicitis by angiostrongylus costaricensis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732605/
https://www.ncbi.nlm.nih.gov/pubmed/31534812
http://dx.doi.org/10.1155/2019/5670802
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