ABSTRACT Appendicitis is a common surgical emergency, often attributed to luminal obstruction. At times, post-operative histopathological examination reveals uncommon etiologies, including parasitic infestations and neoplastic lesions, other than confirming tissue inflammation in the appendix. We report a case of a 60-year-old female presenting with recurrent right iliac fossa pain, clinically diagnosed as acute appendicitis at the time of presentation. Imaging suggested perforation warranting emergency laparotomy and appendectomy. Gross examination revealed an enlarged appendix with wall thickening and occluded lumen. Histopathological analysis revealed a serrated epithelial lesion without dysplasia, diverticulosis, and infestation by Enterobius vermicularis. This case underscores the value of submitting appendectomy specimens for routine histopathological examination in as it can unearth rare yet clinically significant findings which have implications for surveillance and patient management.
Muralidhar et al. (Thu,) studied this question.