Ascariasis Presenting as Acute Abdomen—A Case Report

Nag, Hirdaya Hulas; Ji, Ram

doi:10.1007/s12262-012-0514-8

Cited by 9 publications

(9 citation statements)

References 8 publications

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“…76,[106][107][108] Computed tomography (CT), including contrast enhanced CT (CECT) and magnetic resonance imaging (MRI) scans can support the diagnosis, but may not be needed in cases with positive ultrasonography or plain x-ray. 109 Ultrasonography remains the diagnostic tool of choice for suspected hepatobiliary and pancreatic ascariasis ( Figure 6A), 76,81,110 although its sensitivity may be poor, especially in duodenal ascariasis. 107 Upper endoscopy may identify A. lumbricoides in the duodenum, and endoscopic retrograde cholangiopancreatography (ERCP) can be used to remove worms from the ducts and duodenum ( Figure 6B).…”

Section: Diagnosismentioning

confidence: 99%

Soil-transmitted helminth infections

et al. 2018

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More than a quarter of the world's population is at risk of infection with the soil-transmitted helminths Ascaris lumbricoides, hookworm (Ancylostoma duodenale and Necator americanus), Trichuris trichiura, and Strongyloides stercoralis. Infected children and adults present with a range of medical and surgical conditions, and clinicians should consider the possibility of infection in individuals living in, or returning from, endemic regions. Although safe and effective drugs are donated free to endemic countries, only half of at-risk children received treatment in 2016. This Seminar describes the epidemiology, lifecycles, pathophysiology, clinical diagnosis, management, and public health control of soil-transmitted helminths. Previous work has questioned the effect of population-level deworming; however, it remains beyond doubt that treatment reduces the severe consequences of soil-transmitted helminthiasis. We highlight the need for refined diagnostic tools and effective control options to scale up public health interventions and improve clinical detection and management of these infections.

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Section: Diagnosismentioning

confidence: 99%

Soil-transmitted helminth infections

et al. 2018

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“…Helicobacter pylori infection, smoking, alcohol, and nonsteroidal anti-inflammatory drugs (NSAIDS) are exposures known to increase the risk for PUD and perforation. [6][7][8][9] Bariatric surgery is increasingly common in wealthy nations and, therefore, more frequently encountered in pregnancy. 10 Bariatric surgery increases the risk for gastric perforation.…”

Section: Discussionmentioning

confidence: 99%

Gastric Rupture in Pregnancy: Case Series from a Tertiary Institution in Rwanda and Review of the Literature

Ntirushwa

Rulisa

Muhorakeye

et al. 2016

AJP Rep

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Background Gastric rupture is a rare, life-threatening condition during pregnancy. Case study We present three cases of gastric perforation during pregnancy and the puerperium. The first patient presented with gastric perforation 4 days following an uncomplicated cesarean delivery for obstetric indications. She initially complained of epigastric pain; however, those symptoms resolved. She later demonstrated worsening abdominal distension, intra-abdominal free fluid, and signs of peritonitis. At laparotomy, an ascariasis-associated gastric rupture was diagnosed. She died from sepsis 4 days following the laparotomy. The second patient presented 19 days following a normal vaginal delivery. She presented with hemodynamic instability and underwent emergent laparotomy due to suspected septic shock peritonitis. Gastric rupture was diagnosed intraoperatively. She improved clinically and was discharged home. The third patient underwent emergency cesarean delivery due to non-reassuring fetal status in the setting of preeclampsia. She was initially diagnosed with ascites and pulmonary edema as a result of preeclampsia. Later in her course, she developed features in favor of acute abdomen and signs of sepsis. At the time of emergent laparotomy, a gastric rupture was identified and repaired. She died 2 days later from sepsis. Conclusion We report the management and outcome of three cases of pregnancy-related gastric rupture. To our knowledge, these three cases represent the largest series of pregnancy-related gastric ruptures from a single institution.

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“…Surgical complications are common in patient with a high worm load and include mechanical small bowel obstruction, gastrointestinal haemorrhage, gastrointestinal perforation, obstructive jaundice, pancreatitis, and appendicitis [2][3][4]. Intestinal obstruction is the most common complication and commonly occurs near the ileal-caecal valve as result of a bolus of worm obstructing the bowel lumen [3,5,6].…”

Section: Introductionmentioning

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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Ascariasis Presenting as Acute Abdomen—A Case Report

Cited by 9 publications

References 8 publications

Soil-transmitted helminth infections

Soil-transmitted helminth infections

Gastric Rupture in Pregnancy: Case Series from a Tertiary Institution in Rwanda and Review of the Literature

An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

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