Ascariasis: A common disease with uncommon presentation in a resource limited setting. A case report
Ascaris-induced intestinal obstruction is a rare complication primarily seen in children in areas with a high prevalence of worm infestations. It can occur through 2 mechanisms: immune-mediated reactions releasing neurotoxins that cause contractions and inflammation in the small intestine (aperistal...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323009779 |
| _version_ | 1827339758925250560 |
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| author | Messay G/Kidan, MD, Shimalis T. Fayisa, MD, Samuel S. Hailu, MD, Abel T. Abebe, MD, |
| author_facet | Messay G/Kidan, MD, Shimalis T. Fayisa, MD, Samuel S. Hailu, MD, Abel T. Abebe, MD, |
| author_sort | Messay G/Kidan, MD, |
| collection | DOAJ |
| description | Ascaris-induced intestinal obstruction is a rare complication primarily seen in children in areas with a high prevalence of worm infestations. It can occur through 2 mechanisms: immune-mediated reactions releasing neurotoxins that cause contractions and inflammation in the small intestine (aperistalsis), or mechanical obstruction by adult worms, commonly at the ileocecal valve. Partial obstructions are managed conservatively, while complete obstructions often require surgical intervention. In a recent case, a 19-year-old male presented with persistent abdominal pain, vomiting, and inability to pass stools, and gas. Imaging revealed partial obstruction, and conservative management with fluids, a nasogastric tube, and antibiotics led to the spontaneous passage of worms, relieving symptoms. The patient was discharged with anthelmintics and advised on follow-up and sanitary measures. This case is notable for the uncommon occurrence of Ascaris-induced intestinal obstruction in adults and the successful conservative management resulting in early worm expulsion. |
| first_indexed | 2024-03-07T20:05:23Z |
| format | Article |
| id | doaj.art-b594b60af58040b8b6878649bb217a51 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-07T20:05:23Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-b594b60af58040b8b6878649bb217a512024-02-28T05:13:04ZengElsevierRadiology Case Reports1930-04332024-04-0119415601564Ascariasis: A common disease with uncommon presentation in a resource limited setting. A case reportMessay G/Kidan, MD,0Shimalis T. Fayisa, MD,1Samuel S. Hailu, MD,2Abel T. Abebe, MD,3Department of Radiology, Menelik II Comprehensive Specialized Hospital, Addis Ababa, EthiopiaDepartment of Radiology, School of Medicine, Collage of Health Science, Mizan Tepi University, Mizan, EthiopiaDepartment of Radiology, School of Medicine, Addis Ababa University, Addis Ababa, EthiopiaUniversity of Texas Medical Branch, Galveston, TX, USAAscaris-induced intestinal obstruction is a rare complication primarily seen in children in areas with a high prevalence of worm infestations. It can occur through 2 mechanisms: immune-mediated reactions releasing neurotoxins that cause contractions and inflammation in the small intestine (aperistalsis), or mechanical obstruction by adult worms, commonly at the ileocecal valve. Partial obstructions are managed conservatively, while complete obstructions often require surgical intervention. In a recent case, a 19-year-old male presented with persistent abdominal pain, vomiting, and inability to pass stools, and gas. Imaging revealed partial obstruction, and conservative management with fluids, a nasogastric tube, and antibiotics led to the spontaneous passage of worms, relieving symptoms. The patient was discharged with anthelmintics and advised on follow-up and sanitary measures. This case is notable for the uncommon occurrence of Ascaris-induced intestinal obstruction in adults and the successful conservative management resulting in early worm expulsion.http://www.sciencedirect.com/science/article/pii/S1930043323009779Ascaris lumbricoidesBowel obstructionX-rayUltrasound |
| spellingShingle | Messay G/Kidan, MD, Shimalis T. Fayisa, MD, Samuel S. Hailu, MD, Abel T. Abebe, MD, Ascariasis: A common disease with uncommon presentation in a resource limited setting. A case report Radiology Case Reports Ascaris lumbricoides Bowel obstruction X-ray Ultrasound |
| title | Ascariasis: A common disease with uncommon presentation in a resource limited setting. A case report |
| title_full | Ascariasis: A common disease with uncommon presentation in a resource limited setting. A case report |
| title_fullStr | Ascariasis: A common disease with uncommon presentation in a resource limited setting. A case report |
| title_full_unstemmed | Ascariasis: A common disease with uncommon presentation in a resource limited setting. A case report |
| title_short | Ascariasis: A common disease with uncommon presentation in a resource limited setting. A case report |
| title_sort | ascariasis a common disease with uncommon presentation in a resource limited setting a case report |
| topic | Ascaris lumbricoides Bowel obstruction X-ray Ultrasound |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323009779 |
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