TWiP 280: The wriggling diagnosis

TWiP 280: The wriggling diagnosis

May 28, 2026 · 57 min · Episode 280

About this episode

The episode discusses a case of a child with a mysterious wormlike entity found in the appendix.

TWiP solves the case of the 3 yo child, who recently immigrated to the US from Central America, in the ER with acute right lower quadrant abdominal pain and a rather active serpiginous wormlike 'thing' wiggling away in the child's appendix. Hosts: Vincent Racaniello , Daniel Griffin , and Christina Naula Subscribe (free): Apple Podcasts , Google Podcasts , RSS , email Links for this episode Join the MicrobeTV Discord server Hero: Rudolf Ludwig Carl Virchow (1821-1902) Letters read on TWiP 280 TWiP study – information and survey New Case 3 yo child who recently immigrated to the US from Central America is brought in to the ER with acute right lower quadrant abdominal pain. The mother is concerned about the pain as well as nausea and vomiting. This is acute and the ER provider is concerned that this might be an acute surgical emergency. They order an US in this child and they are surprised to see a rather active serpiginous wormlike 'thing' wiggling away in the child's appendix. I was sent the Ultrasound video which I really enjoyed. What to do? Become a patron of TWiP Send your questions and comments to twip@microbe.tv Music by Ronald Jenkees

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