Many cases of invasion by Enterobius vermicularis of the female genital tract, including the Fallopian tube, have been reported. It would seem logical that peritoneal involvement as the result of migration of the parasites into the abdominal cavity would also be common. A survey of the literature, however, reveals surprisingly few instances of invasion of the peritoneum by E. vermicularis. We have recently observed a case of pelvic peritoneal granulomatosis with enterobiasis which induced chronic low-grade pelvic symptoms necessitating operative intervention. We wish to report this case and to review 12 cases reported in the literature.
Report of Case
A 34-year-old white woman, the mother of four children, had had progressively severe menometrorrhagia for two years. This was associated with a dull, left lower abdominal pain that radiated to the perianal region. The pain became severer during the time of the menstrual flow. On pelvic examination an irregular, soft, tender
SCHENKEN JR, TAMISIEA J. Peritoneal Granulomas Due to Enterobius VermicularisReport of a Case and a Review of the Literature. AMA Arch Surg. 1956;73(2):309-311. doi:10.1001/archsurg.1956.01280020123024