Abstract
<i>ENTEROBIUS vermicularis</i>, the pinworm, is commonly associated with perianal and perineal pruritus in children in the United States. Although<i>E vermicularis</i>is frequently encountered in pediatric practice, most physicians are not aware that it can cause severe, ectopic disease in the adult urogenital tract. A young woman had chronic dysmenorrhea, dyspareunia, and lower abdominal discomfort. At exploratory laparotomy, she was found to have multiple pelvic granulomas that contained ova of<i>E vermicularis</i>. Her symptoms resolved completely after hysterectomy. We report this case to familiarize physicians with this rare but potentially serious complication of pinworm infestation. <h3>Report of a Case</h3> A 29-year-old (gravida 2, para 2) woman had an 18-month history of dysmenorrhea, dyspareunia, and lower abdominal and pelvic discomfort that she described as a "tremendous weight" comparable with that experienced during labor. She had had an appendectomy as a child and correction of a double ureteral collecting system several years
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