Surgery in Obstruction of Small Intestine Due to Ascariasis

Aiken, David Wyatt; Dickman, F N

doi:10.1001/jama.1957.02980120021006

Cited by 14 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We then looked at data given in case reports, noting the total worm burden (as counted at surgery, autopsy, or after an anthelmintic), age and outcome (survival/death). Only 24 case reports (Watson 1920;Baugh 1923;Alles 1924;Levin & Porter 1924;Watkins & Moss 1924;Hsu et al 1940;Jenkins & Beach 1954;Aiken & Dickman 1957;Cole 1965;Crane et al 1965;Gandhi 1965;Piggott et al 1970;Bustamente-Sarabia et al 1979;Rathi et al 1981;Katz et al 1985;Baird et al 1986;Mpairwe 1991) which specified all of the above were found among 53 publications which described a total of more than 1000 patients.…”

mentioning

confidence: 99%

Worm burden in intestinal obstruction caused by Ascaris lumbricoides

Silva

Guyatt

Bundy

1997

Tropical Med Int Health

View full text Add to dashboard Cite

SummaryExamination of 24 case reports suggests the worm burden in those presenting to hospital with intestinal obstruction is >60 and is about tenfold higher in fatal cases.keywords Ascaris lumbricoides, ascariasis, intestinal obstruction, worm burden, morbidity, mortality correspondence Dr N. R. de Silva, Department of Parasitology, Faculty of Medicine, University of Kelaniya, Talagolla Road, Ragana, Sri Lanka It is generally accepted that a 'large' number of worms must necessarily be present in the small intestine in order to cause obstruction. However, the number meant by 'large' seems somewhat uncertain: figures mentioned in this context range from 15 to more than 100 (Baird et al. 1986; Thein-Hlaing et al. 1990;O'Hanley & Pool 1995;Gilles 1996). Better knowledge of the average worm burden in patients with Ascaris-induced intestinal obstruction could be of predictive value in calculating morbidity rates due to acute complications of ascariasis (Chan et al. 1994).An exhaustive search failed to reveal any reports in the mainstream literature on worm burden in an identified series of patients. We then looked at data given in case reports, noting the total worm burden (as counted at surgery, autopsy, or after an anthelmintic), age and outcome (survival/death). Only 24 case reports (Watson 1920;Baugh 1923;Alles 1924;Levin & Porter 1924;Watkins & Moss 1924;Hsu et al. 1940;Jenkins & Beach 1954;Aiken & Dickman 1957;Cole 1965;Crane et al. 1965;Gandhi 1965;Piggott et al. 1970; BustamenteSarabia et al. 1979;Rathi et al. 1981;Katz et al. 1985;Baird et al. 1986; Mpairwe 1991) which specified all of the above were found among 53 publications which described a total of more than 1000 patients.Nine of the 24 cases were fatal. The worm burden in these 9 (median 639, mean 659.2, range 23-1978) was significantly higher than in the non-fatal cases (median 59, mean 219.3, range 4-990, P=0.045, Kruskal-Wallis H-test) (Figure 1) . Four of the 9 fatal cases and 9 of the 15 non-fatal were below Figure 1 Comparison of worm burden in fatal (n=9) and non-fatal (n=15) cases, and in under-fives (n=13) and older patients (n=11). Vertical line indicates range, box indicates 25th and 75th percentiles. , Median; , mean.

show abstract

mentioning

confidence: 99%

Worm burden in intestinal obstruction caused by Ascaris lumbricoides

Silva

Guyatt

Bundy

1997

Tropical Med Int Health

View full text Add to dashboard Cite

show abstract

“…회충 성충은 좁은 구멍으로 들어가려는 습성이 있어서 쓸개관, 췌관 및 충수로 탈출하는 경우가 많으며, 쓸개관에서 발견된 회충은 황달과 담석을 유발하기도 하 고 담도 폐쇄나 천공으로 외과적인 문제를 일으키기도 한다. 12)회충 감염으로 인한 가장 흔한 합병증은 소장의 폐쇄이며, 소아는 장의 내강이 좁으므로 특 히 1세부터 6세 사이의 소아에서 가장 높은 빈도를 보인다고 알려져 있다 13,14). 장폐쇄로 진단 된 소아 모두에서 복부산통이, 90%에서 구토 증상이 있었다고 보고하였다 14).…”

unclassified

A Case of Expulsion of an Adult Ascaris Worm from the Anus of a 2-year-old Boy

조

최

김

2020

Pediatr Infect Vaccine

View full text Add to dashboard Cite

Ascariasis is the most common helminthic infection in humans. However, its prevalence has been very low in Korea since the 1990s. Recently, there have been several case reports on intestinal obstruction or pancreaticobiliary disease due to infection with Ascaris lumbricoides in adults. However, cases of ascariasis in children have rarely been reported in Korea. We report a case of ascariasis in a 2-year-old boy who experienced expulsion of an adult ascaris worm from his anus. His mother found the worm in his diaper in the morning. His medical history was nonsignificant for any previous illnesses. There were no specific symptoms, and no abnormal findings were found on physical examination. The worm was pink, elongated, and cylindrical; it was 25 cm long and 5 mm wide. Unfertilized eggs of A. lumbricoides were detected in his stool specimen. He was treated with albendazole and remained asymptomatic at follow-up. As long as the number of immigrants from endemic areas and people returning from overseas trips, and import of agricultural products keep increasing, ascariasis can still occur in Korea. Therefore, it is necessary to raise awareness regarding ascariasis.

show abstract

Intestinal obstruction in children due to ascaris simulating intussusception

Wong

1961

Journal of British Surgery

View full text Add to dashboard Cite

Surgery in Obstruction of Small Intestine Due to Ascariasis

Cited by 14 publications

References 9 publications

Worm burden in intestinal obstruction caused by Ascaris lumbricoides

Worm burden in intestinal obstruction caused by Ascaris lumbricoides

A Case of Expulsion of an Adult Ascaris Worm from the Anus of a 2-year-old Boy

Intestinal obstruction in children due to ascaris simulating intussusception

Contact Info

Product

Resources

About