Ascariasis presenting as Acute Abdomen: A Rare Case

Agrawal, Ranjan; Kumar, Parbodh; Mohan, Nitesh

doi:10.5005/jp-journals-10050-10025

Cited by 3 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in children with heavy parasite load it may lead to intestinal obstruction. Multiple worms together form a large bolus and cause mechanical obstruction (Agrawal et al, 2016) similar finding was seen in the present case.…”

Section: Ascariasissupporting

confidence: 90%

“…About 30 % of adult and 60-70% children in endemic areas have worm infestation (Khuroo et al, 1989). Most of the cases however, remain asymptomatic, but in cases with high worm burden they can produce serious complications like intestinal obstruction or perforation which requires urgent surgical interventions (Agrawal et al, 2016). Though Ascaris lumbricoides infection can be diagnosed microbiologically (Arora et al, 2005), X-ray and ultrasonography is a quick, safe, and non-invasive tool for early diagnosis (Mehta et al, 2010;Mani et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Acute Abdomen by Ascaris lumbricoides: A Serious Complication

Pandey¹,

Chauhan²,

Tomar³

2017

Int.J.Curr.Microbiol.App.Sci

View full text Add to dashboard Cite

Ascaris lumbricoides is one of the most common helminth infecting humans. It can affect all age groups but is more prevalent in pre-school children belonging to low socio economic status. Left untreated, it can cause significant and serious complications which include small intestinal obstruction, volvulus and intussusception which require urgent surgical interventions. Ascaris lumbricoides infection should be kept as one of the differential diagnosis of acute abdomen especially in Indian children to avoid serious complications.

show abstract

Section: Ascariasissupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Acute Abdomen by Ascaris lumbricoides: A Serious Complication

Pandey¹,

Chauhan²,

Tomar³

2017

Int.J.Curr.Microbiol.App.Sci

View full text Add to dashboard Cite

show abstract

“…The majority of Ascaris lumbricoides infestations are asymptomatic. However, individuals with heavy worm infestation are likely to develop a wide spectrum of acute abdominal complications such as intestinal obstruction, biliary obstruction, cholangiohepatitis, pancreatitis, liver abscess, and acute appendicitis [7]. The other reported complications include severe gastrointestinal bleeding, perforation, and even gangrene of the bowel wall [8].…”

Section: Discussionmentioning

confidence: 99%

Intestinal Intussusception Due to Entrapped Ascaris lumbricoides in a 13-Year-Old Male Patient

Khan¹,

Khan²,

Alvi³

et al. 2023

Cureus

View full text Add to dashboard Cite

Ascaris lumbricoides is a fairly common intestinal nematode affecting children worldwide, leading to major medical and surgical complications. Although most of the cases are asymptomatic, heavy infestation causes various acute abdominal complications. Ascaris-induced intestinal intussusception is one of the rare presentations.We report a case of a 13-year-old boy with Ascaris lumbricoides infestation presenting with ileocolic intussusception. The patient presented to the emergency unit with colicky abdominal pain, vomiting, and constipation for two days. He was sick-looking and dehydrated. Further examination revealed diffuse abdominal distension with tenderness, guarding, and palpable mass in the right lower quadrant. Ultrasonography showed long-segment ileocolic intussusception with several worms in the intestinal lumen and adjacent mesenteric lymphadenopathy. An exploratory laparotomy was performed, which revealed ileocolic intussusception. The telescopic loop of the ileum was found to be gangrenous and was resected, and a loop ileostomy was performed. The patient was discharged on the seventh day postoperatively without any complications.Physicians in tropical and subtropical countries should consider this condition in the differential diagnosis when they encounter similar presentations in their clinical practice. Sonography is a non-invasive, easy-touse, and widely available imaging modality that can be employed to diagnose entrapped Ascaris in cases presenting with acute gastrointestinal complications. Early diagnosis and prompt surgical intervention can prevent bowel ischemia/gangrene and significantly reduce morbidity and mortality associated with such cases.

show abstract

“…Ascariasis is one of the most common helminthic disease in humans residing in countries with low standard of public health and hygiene, thereby making ascariasis highly endemic in developing countries. 1,2 The durability of eggs, high number of eggs produced per parasite, poor socio economic conditions lead to its high prevalence in tropical countries where wet and warm climate provides suitable environment conditions for its high prevalence. 3 Jejunum or ileum is the usual habitat of an adult worm.…”

Section: Introductionmentioning

confidence: 99%

Ascaris lumbricoides causing jejunal perforation after trivial trauma

Tejareddy¹,

Babu²,

Varma³

et al. 2017

Int Surg J

View full text Add to dashboard Cite

Ascariasis is one of the most common parasitic illnesses in human beings living in underdeveloped and developing countries. Infestation with this can result in wide range of manifestations. Most are asymptomatic, very few patients may develop complications like obstruction, perforation, cholangiohepatitis, pancreatitis, etc. We came across a patient, 20-year-old male who presented to the emergency department with acute abdomen followed by trivial trauma, investigations lead to peritonitis as diagnosis. On emergency laparotomy, unexpectedly Ascaris worms wriggling through jejunal perforation and live adult worms freely floating in peritoneal cavity were seen. It is suggested that trivial trauma might have exacerbated impending Ascaris perforation. A jejunal perforation of Ascaris after trivial trauma is a rare entity. This unique case has highlighted the fact that Ascaris can lead to intestinal perforation in heavily infested individuals particularly in tropical countries following trivial trauma.

show abstract

Ascariasis presenting as Acute Abdomen: A Rare Case

Cited by 3 publications

References 14 publications

Acute Abdomen by Ascaris lumbricoides: A Serious Complication

Acute Abdomen by Ascaris lumbricoides: A Serious Complication

Intestinal Intussusception Due to Entrapped Ascaris lumbricoides in a 13-Year-Old Male Patient

Ascaris lumbricoides causing jejunal perforation after trivial trauma

Contact Info

Product

Resources

About