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Related Experiment Videos

Strongyloidiasis presenting as duodenal obstruction.

K Harish1, R Sunilkumar, Thomas Varghese

  • 1Medical College Hospital, Calicut, Kerala. dr_harishk@yahoo.co.in

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|June 2, 2006
PubMed
Summary

Strongyloides stercoralis can cause rare small bowel obstruction in immunocompetent patients. Early diagnosis and ivermectin treatment led to complete symptom resolution in a case study.

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Parasitology

Background:

  • Small bowel obstruction is a serious condition, but obstruction caused by Strongyloides stercoralis is uncommon, particularly in individuals with normal immune systems.
  • Strongyloides stercoralis is a nematode parasite that can cause a range of gastrointestinal symptoms.

Observation:

  • A 45-year-old immunocompetent male presented with severe abdominal pain, fever, and vomiting.
  • Endoscopic examination showed duodenal edema and narrowing, with barium radiography confirming partial small bowel obstruction.

Findings:

  • Duodenal biopsy revealed Strongyloides stercoralis within the submucosa, accompanied by inflammatory cell infiltration.
  • The patient's condition was diagnosed as small bowel obstruction secondary to Strongyloides stercoralis infection.

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Implications:

  • This case highlights the importance of considering parasitic infections like Strongyloides stercoralis in the differential diagnosis of small bowel obstruction, even in immunocompetent individuals.
  • Prompt diagnosis and treatment with ivermectin can lead to complete recovery, underscoring the efficacy of this antiparasitic medication.