Intestinal Obstruction in a Child with Massive Ascariasis
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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Case Reports in Pediatrics
Abstract
Soil-transmitted helminths are so prevalent in the tropics and low developing countries. Pediatric clinical presentation of ascariasis,
the most common helminth, as the intestinal obstruction is not only rare but also less described. We present a case of a 4-
year-old girl with massive ascariasis. She presented with a 3-day history of acute abdominal pain associated with vomiting and an
episode of passing long white roundworms, about 5 cm in length, through the nose. (e child had mild constipation and passed
pellets of hard stool once in the last 72 hours. She was in fair general condition at the examination but had significant findings on
abdominal examination. On palpation, there was a soft mass localized in the left paraumbilical area and no tenderness, with
normal bowel sounds on auscultation. Exploratory laparotomy was sanctioned where roundworms (Ascaris lumbricoides),
saucepan full, were delivered through a 2.5 cm enterotomy incision. Postoperative management was carried out, and the child
discharged on the 7th day of treatment including a 3-day course of albendazole 400 mg daily.
Description
Keywords
Intestinal Obstruction, Child, Ascariasis
Citation
Turyasiima, M., Matovu, P., Kiconco, G., Egesa, W. I., Sunday, P., Nakandi, L., ... & Byendera, M. (2021). Intestinal obstruction in a child with massive ascariasis. Case Reports in Pediatrics, 2021. https://doi.org/10.1155/2021/8857291