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November 3, 1978

Enterobius in an Unusual Location

JAMA. 1978;240(19):2046. doi:10.1001/jama.1978.03290190024015

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To the Editor.—  Enterobius vermicularis is a parasite occasionally seen by a surgical pathologist. The usual location of the worm, eggs, or both is the appendix or an anal biopsy specimen. We recently examined a surgical specimen from a 15-year-old girl with the parasitic infection in a most unusual place.

Report of a Case.—  The patient complained of a mass in the vagina. From examination, her physician thought she probably had a bartholin gland abscess and treated her with antibiotics. The area did not heal, and the patient was referred to a surgeon.The surgeon felt what he thought was a cystic mass in the posterior part of the vagina. He brought the patient to the operating room for incision and drainage of the lesion. The pathology department received two pieces of irregular, smooth, orange tissue measuring 2 cm and 1 cm in diameter. Sectioning of the tissue showed it