Colonoscopy - Effective in Solving Diagnostic Dilemmas

Abstract

Enterobius Vermicularis is the most common helminth infecting man with a host range restricted to humans [1]. The parasite is not transmitted by arthropod vectors or intermediate hosts but directly from the parasitized subject to a healthy subject by means of infected hands, food or fomites [2]. Indirect transmission by air has been noted wherein suspended microscopic eggs get inhaled with dust. Gravid adult worms often migrate to the anus during night and in female patients may enter the vagina to release eggs and cause vulvovaginitis [3]. We are reporting an interesting case of 35-year-old female who presented with persistent vulvovaginitis, perianal itching, generalized weakness, fever and pain abdomen. Contrast abdomen and pelvis was done for evaluation of pain abdomen which revealed multiple minute foreign bodies in rectum and anal area.