Chronic intussusception in children caused by Ascaris lumbricoides

Abstract

Chronic intussusception (CI) is defined as an intussusception lasting for 14 days or more. Because the clinical manifestations are non-specific, the diagnosis is usually delayed. Symptoms include intermittent abdominal pain, sometimes an abdominal mass is palpable and there is a marked weight loss. Diagnosis is based on typical features revealed by ultrasound or barium enema and CT investigations. Therapy is surgical with obligatory exclusion of possible underlying lesions. We report a case of a 3.5-year-old girl with chronic intussusception. Laboratory blood findings revealed sideropenic anemia and stools positive for Ascaris lumbricoides. Anti-parasitic therapy with mebendazole was repeatedly administered with early improvements but soon after symptoms relapsed. During surgery an ileocolic chronic intussusception extending to hepatic flexure was found. Postoperative control examinations proved complete healing. We suspected that Ascaris lumbricoides infestation was an etiologic factor for the development of chronic intussusception in the child.

Ascariasis causing small bowel obstruction in an adult female: A case report

“…The normal habitat of the adult worm is the jejunum [ 1 ]. Adult parasites dwelling in the small intestine can induce, depending on their numbers, various gastrointestinal and hepatobiliary complications [ 6 ] including ileal perforation [ 8 ], intussusception [ 9 ], intestinal obstruction [ [10] , [11] , [12] , [13] ], upper gastrointestinal bleeding, volvulus, peritonitis, biliary colic, acute cholecystitis, acute pancreatitis, acute cholangitis and hepatic abscess [ 6 ].…”

Ascaris lumbricoides: an unusual aetiology of gastric perforation

“…Intussusceptions due to Ascaris have also been reported [8, 9]. Acute appendicitis and appendicular perforation can occur as a result of worms entering the appendix.…”

Round worm infestation in fundus of stomach: a rare case presentation

“…2 Intussusceptions due to Ascaris have also been reported. 8,9 Acute appendicitis and appendicular perforation can occur as a result of worms entering the appendix. Perforation of Meckel's diverticulum has also been reported to be caused by Ascaris.…”