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Ascaris liver abscess in children.
Shamsul Bari1, Khurshid A Sheikh, Mohammad Ashraf
1Department of General Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, India.
Journal of Gastroenterology
|March 24, 2007
Summary
Ascaris infestation can cause liver abscesses in children, particularly in rural India. Prompt diagnosis and surgical drainage are crucial for managing this serious condition.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
- Hepatology
Background:
- Liver abscess in children presents significant clinical challenges.
- Pyogenic liver abscesses are prevalent in Indian children, especially in rural settings.
- Wandering Ascaris parasites are a notable cause of liver abscesses in pediatric populations in Kashmir.
Purpose of the Study:
- To investigate the incidence and management of liver abscesses caused by wandering Ascaris in children.
- To highlight the importance of considering Ascaris infestation in pediatric liver abscess cases.
Main Methods:
- A retrospective study conducted over 10 years at Sheri-Kashmir Institute of Medical Sciences, Srinagar, India.
- Inclusion of ten pediatric patients diagnosed with liver abscesses due to wandering Ascaris.
- Patient age range: 2 to 13 years.
Main Results:
- Seventy percent of affected children resided in rural areas.
- All patients presented with fever; three experienced peritonitis.
- Ultrasonography was the primary diagnostic modality.
- All ten cases required open surgical drainage for management.
Conclusions:
- Ascaris infestation should be considered a potential cause of liver abscess in children.
- Early recognition and intervention are vital for favorable outcomes in pediatric liver abscesses.
- This study underscores the geographical significance of Ascaris-induced liver abscesses in specific regions.
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