Clinical appraisal of Ascaris lumbricoides , with special reference to surgical complications

Mukhopadhyay, Biswanath; Saha, Subhasis; Maiti, Satyabrata; Mitra, Debdeep; Banerjee, Tibar; Jha, Mithilesh Kumar; Mukhopadhyay, Madhumita; Samanta, N; Das, Somak Kumar

doi:10.1007/s003830000517

Cited by 32 publications

(16 citation statements)

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“…Conservative management for partial worm obstruction is advocated in many studies, 17,20,22 and can be managed with intravenous fluid administration, nasogastric suction, and instillation of oral piperazine salt 9 , normal saline enema 22 and hypertonic saline enemas. 21 Few studies advocated use of gastrografin 15,23 for evacuation of worms with variable results.…”

Section: Discussionmentioning

confidence: 99%

Conservative treatment for round worm intestinal obstruction

et al. 2007

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Section: Discussionmentioning

confidence: 99%

Conservative treatment for round worm intestinal obstruction

et al. 2007

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“…Ascaris-related intestinal obstruction can cause a variety of symptoms such as colicky abdominal pain, vomiting, constipation, and ascaris in vomit [7,18]. Gangopadhyay et al reported that 45.5% patients had a history of passing worms through the mouth, and 63.6% through the rectum.…”

Section: Discussionmentioning

confidence: 99%

“…If the obstruction is at the level of the ileum, milking of the worms to the cecum can be carried out carefully without causing trauma to the bowel wall. If the obstruction is at the level of the jejunum, enterotomy must be performed, because milking the bolus down to the ileocecal valve may cause trauma to the bowel wall [8,18].…”

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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“…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: 99%