TITLE

Acute Abdomen Secondary to Ascaris lumbricoides Infestation of the Small Bowel

AUTHOR(S)
Schulze, Scott M.; Chokshi, R. J.; Edavettal, M.; Tarasov, E.
PUB. DATE
June 2005
SOURCE
American Surgeon;Jun2005, Vol. 71 Issue 6, p505
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Ascariasis is a helminthic infection commonly found in tropical climates. It often propagates in communities of low socioeconomic status secondary to contamination of the soil and water supply with human feces. We present a case report of a 42-year-old Asian-Indian female presenting with a long-standing history of severe recurrent postprandial epigastric pain, requiring multiple hospital admissions. Ultrasound, computed tomography (CT), and nuclear biliary scan were negative. She underwent esophagogastroduodenoscopy that suggested ischemia. Magnetic resonance angiography (MRA) and mesenteric angiography were inconclusive. As conservative treatment had been unsuccessful, a small bowel series was performed. The radiographs demonstrated characteristic findings of Ascaris lumbricoides infestation. Although the prevalence, diagnosis, and subsequent treatment of an acute abdomen secondary to Ascaris lumbricoides infestation is commonly seen in developing countries, clinicians in developed countries may not consider this entity when faced with a patient with similar symptoms. We frequently care for immigrants from developing countries and our own citizens who visit the countries where ascariasis is endemic. Therefore, heightened awareness of Ascaris lumbricoides infection (ALI) presenting as an acute abdomen is necessary. The diagnosis requires an experienced radiologist and knowledge by the clinician of treatment options and of when a surgeon should be involved.
ACCESSION #
17342207

 

Related Articles

  • Biliary Ascariasis on Magnetic Resonance Cholangiopancreatography. Hashmi, Mohammad A.; De, Jevan K. // Journal of Global Infectious Diseases;Jun2009, Vol. 1 Issue 2, p144 

    A 17-year-old girl presented with features of biliary obstruction. Magnetic resonance cholangi-pancreatography revealed typical linear signals in common bile duct, which appears like Ascaris lumbricoides. The diagnosis was confirmed by endoscopic removal of the worm.

  • Multiparasitic Infection (Hydatid Cyst of the Spleen and Ascaris Lumbricoides Infestation) Mimicking an Acute Surgical Abdomen - Case Report. Molnar, Călin; Vizitiu, Alexandru; Deak, Karoly; Russu, Cristian; Tudor, Adrian; Suciu, Bogdan; Stolnicu, Simona; Hulub, Marius; Molnar, Claudiu // Acta Medica Marisiensis;Mar2016, Vol. 62 Issue 1, p138 

    Hydatid cyst involving the spleen is a rare clinical condition (0.5-4%). We report a case of multi-parasitic infection in a 62 year old female (hydatid cyst and ascaris lumbricoides infestation), confirmed during surgery. The purpose of the paper is to emphasize on the rare association of the...

  • Successful elimination of Ascaris lumbricoides from the gallbladder by conservative medical therapy. Cha, Dong Youb; Song, In Kwan; Choi, Hwan Won; Chung, Eun A; Shin, Bong Seok; Song, Young Wook; Lee, Sang Mi; Kim, Hong Min; Kim, Young Kwan; Lee, Young-Ha; Lee, Gye Sung // Journal of Gastroenterology;2002, Vol. 37 Issue 9, p758 

    Migration of Ascaris lumbricoides into the gallbladder is rare, unlike ascariasis of the bile duct, and, when it does occur, treatment is generally by endoscopic or surgical extraction. We describe a case of the successful treatment of gallbladder ascariasis with conservative therapy. A...

  • Ascaris lumbricoides β carbonic anhydrase: a potential target enzyme for treatment of ascariasis. Emameh, Reza Zolfaghari; Kuuslahti, Marianne; Vullo, Daniela; Barker, Harlan R.; Supuran, Claudiu T.; Parkkila, Seppo // Parasites & Vectors;9/19/2015, Vol. 8 Issue 1, p1 

    Background: A parasitic roundworm, Ascaris lumbricoides, is the causative agent of ascariasis, with approximately 760 million cases around the world. Helminthic infections occur with a high prevalence mostly in tropical and developing xcountries. Therefore, design of affordable broad-spectrum...

  • ANALYSIS OF SPATIAL DISTRIBUTION OF ASCARIASIS. Medronho, R. A.; Valencia, Luis I.; Campos, M. R. // Journal of Epidemiology & Community Health;Aug2004 Supplement 1, Vol. 58, pA40 

    The article estimates risk areas for Ascaris lumbricoides parasitic overload, using geoprocessing and geostatistic methods of analysis. Ascariasis is an important problem of public health, especially in developing countries. The high prevalence of Ascaris lumbricoides is associated with...

  • Ascaris lumbricoides: an unusual aetiology of gastric perforation. Gupta, Shahana; Kumar, Sanjeev; Satapathy, Ayusman; Ray, Udipta; Chatterjee, Souvik; Choudhury, Tamal Kanti // Journal of Surgical Case Reports;Nov2012, Vol. 2012 Issue 11, p1 

    Gastrointestinal (GI) infestation with Ascaris lumbricoides is common in the tropical countries, particularly in children. A wide range of clinical presentations are reported for GI ascariasis in both adults and children. We report a case of gastric perforation due to Ascaris, a rare presentation.

  • The risk of Ascaris lumbricoidesinfection in children as an environmental health indicator to guide preventive activities in Caparaó and Alto Caparaó, Brazil. Carneiro, Fernando Ferreira; Cifuentes, Enrique; Tellez-Rojo, Martha Maria; Romieu, Isabelle // Bulletin of the World Health Organization;2002, Vol. 80 Issue 1, p40 

    Objective To develop an environmental health indicator for use as a basis for developing preventive measures against Ascaris lumbricoides infection in children from the rural municipalities of Caparaó and Alto Caparaó, in Minas Gerais, Brazil. Methods A cross-sectional survey was conducted...

  • Household social determinants of ascariasis and trichuriasis in North Central Venezuela. Quintero, Karen; Durán, Carmen; Duri, Deborah; Medina, Flor; Garcia, Josmar; Hidalgo, Glida; Nakal, Syndy; Echeverria-Ortega, Maria; Albano, Carlos; Incani, Renzo Nino; Cortez, Jackeline; Jiménez, Sara; Díaz, Marietta; Maldonado, Cecilio; Matute, Franklin; Rodriguez-Morales, Alfonso J. // International Health (1876-3413);Jun2012, Vol. 4 Issue 2, p103 

    Abstract: Ascariasis and trichuriasis are highly prevalent parasitoses in tropical countries caused by Ascaris lumbricoides and Trichuris trichiura, respectively. Their prevalence is associated with poor sanitation and hygiene, among other biological and social factors. In this study, the...

  • Genome sequence puts roundworm on the ropes.  // Australian Life Scientist;10/27/2011, p1 

    The newly-published genome sequence of roundworm is hoped to reveal new targets for diagnosis and treatment of this pervasive pernicious parasite.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics