Severe Intestinal Bleeding Leading to Exploratory Laparotomy in an Infant with Hookworm Infection

Lintermans, J. P.
November 1976
Clinical Pediatrics;Nov1976, Vol. 15 Issue 11, p1073
Academic Journal
This article focuses on the treatment of severe intestinal bleeding leading to exploratory laparotomy in an infant with hookworm infection. In some cases of ancylostomiasis, a false diagnosis of acute abdomen, duodenal ulcer, or appendicitis may be made because of the paroxysmal pain. A 26-day-old baby girl was admitted to the University Hospital of Kinshasa, Zaire, because of melena of three days duration and congestive heart failure. An exploratory laparotomy on the third hospital day revealed blood in the lower small intestine and in the entire large bowel. A fecal smear on the third postoperative day revealed 32 ova of Necator americanus. It was then learned that the baby, immediately after her delivery at home, had been laid down on damp soil. Bephenium hydroxynaphtoate was administered four times during the ensuing week.


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