Ascaris lumbricoides: an unusual aetiology of gastric perforation

Gupta, Swapnil; Kumar, Sanjeev; Satapathy, Amit Kumar; Ray, Udipta; Chatterjee, Souvik; Choudhury, Tamal Kanti

doi:10.1093/jscr/rjs008

Cited by 17 publications

(13 citation statements)

References 9 publications

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“…Piperazine was instilled via the resected bowel ends followed by ileostomy fashioning. No milking of worms was done because of hemodynamic instability in our patient [15][16][17][18][19][20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

Muchuweti

Mungani

Mahomva

et al. 2019

JCRM

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Oftentimes general surgeons working in poorly resourced communities carry out emergency abdominal surgery in patients with acute abdomen with no definitive preoperative diagnosis. The definitive diagnosis is made at laparotomy. Perforated small bowel obstruction secondary to heavy Infestation with Ascaris lumbricoides brings a number of intraoperative challenges requiring correct intraoperative surgical management decisions. We present a case of a 17 year-old patient who was admitted with a diagnosis of small bowel obstruction that at laparotomy was found to have perforated gangrenous small bowel volvulus with heavy worm load visible through the bowel wall. Because of fecal peritoneal contamination and hemodynamic instability she underwent a two staged procedure with good outcome.

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Section: Discussionmentioning

confidence: 99%

An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

Muchuweti

Mungani

Mahomva

et al. 2019

JCRM

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“…Ascaris lumbricoides is a parasitic nematode and one of the most common parasites in the world, infecting 1.2 billion people globally [ 2 , 3 ]. Infections are most common in the developing world [ 2 ], with higher prevalence among children [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Our patient lives in the Amazon region with limited access to drinking water, which probably contributed to her infection. Ascariasis usually occurs by the ingestion of the embryonated eggs [ 3 ]. The larvae hatch in the small intestine and migrate to the colon where they penetrate its mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…Parasitic infections can affect people of all ages and it has been associated to socioeconomic, environmental and sanitary-hygienic conditions [ 1 ]. Ascaris lumbricoides is a parasitic nematode and one of the most common parasites in the world [ 2 , 3 ]. Infection can manifest with vomiting, malnourishment, pneumonitis, growth impairment and abdominal pain.…”

Section: Introductionmentioning

confidence: 99%

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Ascaris lumbricoides and its almost deadly complication

Molina

Torres

Llerena

et al. 2018

Journal of Surgical Case Reports

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Parasitic infections are still a burden in developing countries. The lack of sanitation and hygiene measures can result in an increase in morbidity and mortality due to parasitic infections. Surgery may be needed to treat serious complications caused by some of these parasites. Ascaris lumbricoides is one of the most common parasites and although infections are usually mild, severe complications, although rare, still exist. We present a case of a patient from the Ecuadorean Amazon region with limited access to drinking water. She presented to the emergency room with abdominal pain and a mass in the abdomen. After surgery, a mass with a perforation due to Ascaris was discovered. After discharge and due to lack of follow up and self-care, she became infected again, this time making her prognosis more complex and her clinical presentation more difficult. However, after proper clinical and surgical management, patient fully recovered.

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“…The chemical composition of such a preparation is usually unknown and can be harmful, and even if it affects parasites it can have negative consequences, e.g. convolution and penetration of parasites into the peritoneal cavity, such as human roundworm -Ascaris lumbricoides [135]. The possibility of buying pills in the case of the so-called "Tapeworm diet" entails many risks.…”

Section: Risks Of Parasite Use In Medical Treatmentmentioning

confidence: 99%

Toxicity of parasites and their unconventional use in medicine

Król¹,

Tomaszewska²,

Wróbel³

et al. 2019

Ann Agric Environ Med.

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Introduction. Over 300 species of parasites can possibly be passed on humans. Most of the parasitic infections are defined based on their pathogenicity; however, some positive effects of a parasite existence within the human body have recently been suggested. Beneficial outcomes of parasite infections might result from the production and release of metabolites, modification of host immune response or products uptake of the host. Objective. The aim of the study was a comprehensive analysis of a wide range of effects of parasites on the human body, including an overview of the toxic and positive effects. State of knowledge. In the light of the latest research presenting the unconventional use of parasites in medicine, the widely understood of their impact on the human body can also be considered in a positive context. Clinical cases from diseases caused by the toxic effects of parasites, as described in recent years, indicate that the problem of parasitic infections still persists. Despite a great deal of knowledge about the toxic effects of parasites on the human organism and, above all, despite the improvement in sanitary conditions, there is a resurgence of parasitic infections, as evidenced, e.g. by the examples presented in this review. Conclusions. The examples of positive effects of parasites presented so far give hope for the future in terms of fighting many diseases for which pharmacological treatment has not yet brought a positive effect. A better understanding of those processes might lead to the development of new methods of unconventional medical treatment.

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Ascaris lumbricoides: an unusual aetiology of gastric perforation

Cited by 17 publications

References 9 publications

An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

Ascaris lumbricoides and its almost deadly complication

Toxicity of parasites and their unconventional use in medicine

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