Rare cause of intestinal obstruction, Ascaris lumbricoides infestation: two case reports

Yetim, İbrahim; Özkan, Orhan Ş.; Semerci, Ersan; Abanoz, Recep

doi:10.4076/1757-1627-2-7970

Cited by 9 publications

(11 citation statements)

References 4 publications

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“…Breaking of the worms during milking should be avoided as this may release toxins. In cases presenting with bowel gangrene, perforation, or intussusception with non-viable bowel, resection with primary anastomosis may be required [20,21]. In our case, enterotomy was performed to remove the worms after careful milking of the worms, as multiple abnormal contents in the small intestine had been found at laparotomy.…”

Section: Discussionmentioning

confidence: 91%

Ascaris lumbricoides causing acute abdomen: a case report

Abd-ElLatif¹,

Belal²,

Abdel-Hafeez³

et al. 2013

East Mediterr Health J

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Section: Discussionmentioning

confidence: 91%

Ascaris lumbricoides causing acute abdomen: a case report

Abd-ElLatif¹,

Belal²,

Abdel-Hafeez³

et al. 2013

East Mediterr Health J

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“…Many reports suggest that children with uncomplicated ascaris intestinal obstruction can be successfully treated conservatively, with spontaneous resolution in 83.5% of patients within 3 days via conservative management [4,20].…”

Section: Discussionmentioning

confidence: 99%

“…Massive gastrointestinal bleeding is a rare complication of ascaris intestinal obstruction reported in two infants who presented with massive hematemesis [21]. The rate of mortality in ascaris intestinal obstruction in children more than 10 years of age is 5.7% [20].…”

Section: Discussionmentioning

confidence: 99%

A rare case of intestinal obstruction due to ascariasis in Niš, south Serbia

et al. 2011

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AbstractAscariasis is a helminthic infection of global distribution, and intestinal obstruction is its most common gastrointestinal complication. This is a case of a 7-year-old boy admitted to Pediatric Surgery because of intestinal obstruction caused by ascariasis. On admission, the patient presented with colicky abdominal pain, bile-stained vomiting and meteorism. On physical examination, the patient was thin, pale, and dehydrated. An abdominal examination showed distention and diffuse tenderness. After admission, the patient had fecal vomiting and expulsion of worms through the mouth. Laboratory-test results showed leucocytosis, eosinophilia, hypoalbuminaemia, and hypochloremia. Abdominal radiographs and ultrasound studies were indicative of small-bowel obstruction due to roundworms, which led to the performance of an exploratory laparotomy. On bowel exploration, an intraluminal mass, 10 by 6 cm in diameter, consisting of roundworms in the middle third of the ileum was found. A longitudinal enterotomy was performed, and the worms were meticulously extracted manually. Postoperatively, broad-spectrum antibiotics and antihelminthic drugs were administered. Our case of intestinal obstruction caused by ascariasis is the first to be reported in Serbia, according to the Serbian literature.

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“…En sık jejenum ve proksimal ileumda yaşarlar. Olguların çoğu asemptomatik seyrederken, bazen karaciğer abselerine, akciğerde Loeffler's sendromu›na, biliyer ve intestinal obstruksiyonla seyreden hastalıklara sebep olabilmektedir (3,14,15). Ayrıca iç organlarda hasar, ürtikeriyal döküntü, eozinofili, hepatosplenomegali, pankreatit, kolanjit, akut apandisit ile ince barsaklarda volvulus, invajinasyon, intestinal perforasyon ve granülomatöz peritonit gibi ciddi komplikasyonlar da görülebilmektedir (3,12,16).…”

Section: Resim 1 Hastanın Nazogastrik Sondasından çıKartılan Erişkinunclassified

“…Hastalığın tanısı klinik semptomlarla ve hematolojik araştırmalar-la mümkün değildir; direk röntgenle hava sıvı seviyeleri görülebi-lir, USG ile boyuna iki çift ekojenik tübüler yapılar (demir yolu), enine boğa gözü yapılar görülebilir (15). Mikrobiyolojik tanıda erişkin dişi parazitlerin barsakta bulunduğu sırada, yumurtaların dışkıda görülmesi ile konur.…”

Section: Resim 1 Hastanın Nazogastrik Sondasından çıKartılan Erişkinunclassified

Ascaris lumbricoides in the Nasogastric Tube after Operation on a Patient with the Diagnosis of Acute Mesenteric Ischemia: Case Report

Çiçek¹,

Gündoğdu²,

Direkel³

et al. 2013

TurkiyeParazitolDerg

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ÖZETAscaris lumbricoides insanlarda sık rastlanan barsak helmintidir. Bu, özellikle sıcak ve kırsal bölgelerde, sosyoekonomik düzeyi düşük toplumları etkileyen bir parazittir. Ascaris lumbricoides, parazitin hareketliliği nedeniyle ciddi komplikasyonlara yol açabilmektedir. Parazit; intestinal obstrüksiyon, perforasyon, biliyer obstrüksiyon, pankreatit, peritonit, karaciğer apsesi, kolanjiohepatit, volvulus ve gangren gibi çok çeşitli komplikasyonlara neden olabilir. Mezenterik iskemi ön tanısıyla hastaneye yatırılan 59 yaşındaki kadın hasta jejenum rezeksiyonu nedeniyle ameliyat edilmiştir. Ameliyat sonrası altıncı günde, nazogastrik sondasından gelen bir solucan fark edilmiştir. Mikrobiyoloji laboratuvarında yapılan inceleme sonucunda Ascaris lumbricoides olarak belirlenmiştir. Hasta, 200 mg 1x2 tek doz albendezol ile başarılı bir şekilde tedavi edilmiştir. Olgumuz, jejunum rezeksiyonu sonrası gözlenen askariasisin klinik bir durumunu tanımlamakta ve bu nadir görülen askariasis komplikasyonun önemini vurgulamaktadır. (Turkiye Parazitol Derg 2013; 37: 212-5) Anahtar Sözcükler: Ascaris lumbricoides, jejenum rezeksiyonu, mezenterik iskemi, komplikasyon Geliş Tarihi: 06.03.2013Kabul Tarihi: 14.04.2013 ABSTRACTAscaris lumbricoides is a comman intestinal helminths in humans. It is a parasite which commonly affects society with a low socioeconomic status, especially in tropical and rural areas. Ascaris lumbricoides infestation can lead to serious complications because of the mobility of the worms. The parasite can cause a variety of complications like intestinal obstruction, perforation, biliary obstruction, pancreatitis, peritonitis, liver abscess, cholangiohepatitis, volvulus, and gangrene, etc. A 59-year-old female patient hospitalized with the diagnosis of mesenteric ischemia was operated on for jejunal resection. On the 6 th postoperative day, a worm was noticed emerging through the nasogastric tube. Ascaris lumbricoides was determined as a result of the examination microbiology laboratory. The patient was treated successfully with one dose of albendazole 200 mg 1x2. Our case describes a clinical situation of ascariasis observed after jejunal resection and emphasizes the importance of remaining aware of this rare complication of ascariasis. (Turkiye Parazitol Derg 2013; 37: 212-5)

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Rare cause of intestinal obstruction, Ascaris lumbricoides infestation: two case reports

Cited by 9 publications

References 4 publications

Ascaris lumbricoides causing acute abdomen: a case report

Ascaris lumbricoides causing acute abdomen: a case report

A rare case of intestinal obstruction due to ascariasis in Niš, south Serbia

Ascaris lumbricoides in the Nasogastric Tube after Operation on a Patient with the Diagnosis of Acute Mesenteric Ischemia: Case Report

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