Intestinal ascariasis: new plain film features

Ellman, BA; Wynne, J M; Freeman, April

doi:10.2214/ajr.135.1.37

Cited by 14 publications

(7 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

Muchuweti

Mungani

Mahomva

et al. 2019

JCRM

View full text Add to dashboard Cite

show abstract

“…Plain abdominal radiographs, oral cholecystography (OC), intravenous cholecystography (IVC), and endoscopic retrograde cholangiopancreatography (ERCP) have been used for the diagnosis of intestinal and hepatobiliary ascariasis. Plain radiographs were unsatifactory and should not be used as a screening method [9], and OC and IVC have certain limitations for diagnosis [10]. When there is high-grade biliary obstruction, pressure in the biliary tree will be increased, which then hinders opacification of the biliary tree.…”

Section: Discussionmentioning

confidence: 99%

“…When there is high-grade biliary obstruction, pressure in the biliary tree will be increased, which then hinders opacification of the biliary tree. ERCP is a good but relatively invasive tool for imaging the roundworm but has limitations: it must be performed during active biliary symptoms because the worm may migrate into the intestine from 24 h to 2 weeks [8,9]. It is also dependent on technical skill and is not readily available in some small medical centers.…”

Section: Discussionmentioning

confidence: 99%

Biliary ascariasis: CT, MR cholangiopancreatography, and navigator endoscopic appearance—report of a case of acute biliary obstruction

Wong

Kong

et al. 1999

Abdom Imaging

View full text Add to dashboard Cite

A case of acute common bile duct obstruction caused by a roundworm in a 6-year-old girl is reported. Computed tomography (CT) and magnetic resonance imaging (MRI) showed "bull's-eye" and "eye-glass" appearances of the ascaris in the common bile duct. On reformation of the transverse CT and coronal MR images, the tubular Ascaris was better depicted. MRI and navigator endoscopic demonstrations of the common bile duct ascaris have not been described previously in the literature. These CT and MRI findings may be helpful in the diagnosis of Ascaris.

show abstract

“…Erect abdominal radiographs may demonstrate the "hump sign" with distortion of the fluid level by nodular opacities. 29 Bowel wall thickening may occasionally manifest as abnormal separation of bowel loops. Incidental visualization of individual worms without bowel obstruction merely indicates parasitic infestation as a possible cause of the patient's symptoms, while a tangled worm mass in an obstructed patient establishes a definitive diagnosis.…”

Section: Abdominal Imaging Of Ascariasis Plain Radiographymentioning

confidence: 99%

Imaging and Management of Childhood Ascariasis

Banderker

Arnold

et al. 2017

J Pediatr Infect Dis

View full text Add to dashboard Cite

The human-specific roundworm Ascaris lumbricoides continues to cause significant morbidity and mortality across the world, especially within Asia, South America, and Africa, despite the success of mass eradication programs. Most childhood worm infestations are relatively asymptomatic. Children can, however, be burdened by ascariasis and its negative nutritional impact. Heavy worm loads are complicated by intestinal obstruction, bowel necrosis, and bowel perforation. Less frequently, biliary obstruction and its complications may also occur. Radiological detection of complications allow for early institution of the largely successful nonoperative management followed by curative antihelminthics. Imaging is essential in the monitoring and detection of ominous signs that direct emergency surgical intervention and follow-up.

show abstract

Intestinal ascariasis: new plain film features

Cited by 14 publications

References 1 publication

An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

Biliary ascariasis: CT, MR cholangiopancreatography, and navigator endoscopic appearance—report of a case of acute biliary obstruction

Imaging and Management of Childhood Ascariasis

Contact Info

Product

Resources

About