Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case Report
Ascariasis is an intestinal disease caused by Ascaris lumbricoides. Most patients with ascariasis are asymptomatic; however, the presence of many larvae in the bowel can cause gastrointestinal complications, such as intestinal obstruction, obstructive jaundice, cholangitis, cholecystitis, and pan...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2020-07-01
|
| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2020.81.4.1013 |
| _version_ | 1818293897399369728 |
|---|---|
| author | Ji-Eun Kim Kyung Eun Bae Hyun-Jung Kim Byung-Noe Bae Ji Hae Lee Mi-Jin Kang Ji-Young Kim Jae Hyung Kim |
| author_facet | Ji-Eun Kim Kyung Eun Bae Hyun-Jung Kim Byung-Noe Bae Ji Hae Lee Mi-Jin Kang Ji-Young Kim Jae Hyung Kim |
| author_sort | Ji-Eun Kim |
| collection | DOAJ |
| description | Ascariasis is an intestinal disease caused by Ascaris lumbricoides. Most patients with ascariasis
are asymptomatic; however, the presence of many larvae in the bowel can cause gastrointestinal
complications, such as intestinal obstruction, obstructive jaundice, cholangitis, cholecystitis,
and pancreatitis. Herein, we report a case of ascariasis presenting as hematoma and active
bleeding in the sigmoid mesocolon of a 74-year-old man on computed tomography (CT). Sigmoid
colon perforation was also detected on follow-up CT. Laparoscopic low anterior resection
was performed; there was a large hematoma in the sigmoid mesocolon. Roundworms were
microscopically identified in the mesenteric adipose tissue. The clinical and CT findings of this
unusual presentation of ascariasis revealed serial complications during parasite migration from
the intestinal lumen to the peritoneal cavity. |
| first_indexed | 2024-12-13T03:23:09Z |
| format | Article |
| id | doaj.art-370eac94d01f4cfea57ba12558c2548f |
| institution | Directory Open Access Journal |
| issn | 1738-2637 2288-2928 |
| language | English |
| last_indexed | 2024-12-13T03:23:09Z |
| publishDate | 2020-07-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-370eac94d01f4cfea57ba12558c2548f2022-12-22T00:01:19ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282020-07-0181410131018https://doi.org/10.3348/jksr.2020.81.4.1013Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case ReportJi-Eun Kim0Kyung Eun Bae1Hyun-Jung Kim2Byung-Noe Bae3Ji Hae Lee4Mi-Jin Kang5Ji-Young Kim6Jae Hyung Kim7Department of Radiology, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Radiology, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Pathology Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Surgery, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Radiology, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Radiology, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Radiology, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Radiology, Inje University Sanggye Paik Hospital, Seoul, KoreaAscariasis is an intestinal disease caused by Ascaris lumbricoides. Most patients with ascariasis are asymptomatic; however, the presence of many larvae in the bowel can cause gastrointestinal complications, such as intestinal obstruction, obstructive jaundice, cholangitis, cholecystitis, and pancreatitis. Herein, we report a case of ascariasis presenting as hematoma and active bleeding in the sigmoid mesocolon of a 74-year-old man on computed tomography (CT). Sigmoid colon perforation was also detected on follow-up CT. Laparoscopic low anterior resection was performed; there was a large hematoma in the sigmoid mesocolon. Roundworms were microscopically identified in the mesenteric adipose tissue. The clinical and CT findings of this unusual presentation of ascariasis revealed serial complications during parasite migration from the intestinal lumen to the peritoneal cavity.https://doi.org/10.3348/jksr.2020.81.4.1013ascariasishematomasigmoid mesocolonbowel perforation |
| spellingShingle | Ji-Eun Kim Kyung Eun Bae Hyun-Jung Kim Byung-Noe Bae Ji Hae Lee Mi-Jin Kang Ji-Young Kim Jae Hyung Kim Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case Report 대한영상의학회지 ascariasis hematoma sigmoid mesocolon bowel perforation |
| title | Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case Report |
| title_full | Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case Report |
| title_fullStr | Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case Report |
| title_full_unstemmed | Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case Report |
| title_short | Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case Report |
| title_sort | ascariasis presenting as hematoma in the sigmoid mesocolon a case report |
| topic | ascariasis hematoma sigmoid mesocolon bowel perforation |
| url | https://doi.org/10.3348/jksr.2020.81.4.1013 |
| work_keys_str_mv | AT jieunkim ascariasispresentingashematomainthesigmoidmesocolonacasereport AT kyungeunbae ascariasispresentingashematomainthesigmoidmesocolonacasereport AT hyunjungkim ascariasispresentingashematomainthesigmoidmesocolonacasereport AT byungnoebae ascariasispresentingashematomainthesigmoidmesocolonacasereport AT jihaelee ascariasispresentingashematomainthesigmoidmesocolonacasereport AT mijinkang ascariasispresentingashematomainthesigmoidmesocolonacasereport AT jiyoungkim ascariasispresentingashematomainthesigmoidmesocolonacasereport AT jaehyungkim ascariasispresentingashematomainthesigmoidmesocolonacasereport |