An unusual case of gastric outlet obstruction and melena

Aslam, Aysha; Barlas, Usman; Yassan, Lindsay; Lodhi, Maham

doi:10.1007/s12328-021-01584-3

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…abdominal pain, flatulence, and diarrhea. [4][5][6]9 The term disseminated disease is used when the infective larvae migrate from the intestine to other organs not involved in the normal helminthic life cycle. Larva currens, a pathognomonic cutaneous manifestation of Strongyloides infection, can also occur.…”

Section: Case Reportmentioning

confidence: 99%

Rare Complication of Strongyloidiasis in Vietnam: A Case of Venous Thromboembolism and Duodenal Obstruction

Manh,

Tran,

et al. 2023

Korean J Gastroenterol

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Strongyloidiasis, a chronic helminth infection caused by the parasitic nematode Strongyloides stercoralis, has various clinical manifestations. Although rare, duodenal obstructions and venous thromboembolism are possible complications of strongyloidiasis. This paper presents the case of a 47-year-old Vietnamese male with a history of right lower limb edema, anorexia, nausea, vomiting, diarrhea, and abdominal discomfort lasting for four months. Venous Doppler ultrasound detected a thrombus in the right femoral vein, while an abdominal CT scan revealed a mass lesion suggestive of a lower bile duct tumor. Esophageogastroduodenoscopy showed a friable duodenal cap mucosa with multiple ulcers and edematous mucosa of the second part of the duodenum that caused a partial lumen obstruction. The final histological examination of the biopsy specimen revealed chronic duodenitis with larvae consistent with Strongyloides stercoralis. The patient was treated with Ivermectin for two weeks and anticoagulation therapy for three months. After treatment and a six-month follow-up, the patient's gastrointestinal symptoms and leg swelling resolved completely. This is the first documented case of a patient in Vietnam with strongyloidiasis who presented with venous thromboembolism and duodenal obstruction.

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Section: Case Reportmentioning

confidence: 99%