Trichuriasis colitis detected by Doppler sonography

Area of Science:

• Pediatric Gastroenterology
• Infectious Diseases
• Medical Imaging

Background:

• Trichuriasis (whipworm infection) is a prevalent helminthic disease affecting approximately 17% of the global pediatric population.
• Colonic involvement in Trichuriasis can present with non-specific gastrointestinal symptoms and ambiguous laboratory results, complicating diagnosis.
• Early identification of Trichuriasis is crucial for timely intervention and preventing potential complications.

Observation:

• A pediatric case presented with non-specific abdominal complaints, prompting diagnostic imaging.
• Color Doppler ultrasonography revealed characteristic signs of diffuse colitis.
• Colonoscopy confirmed the presence of colonic infection by Trichuris species.

Findings:

• Color Doppler sonography demonstrated diffuse colitis, suggesting an inflammatory colonic process.
• Colonoscopy provided definitive evidence of Trichuris infection within the colon.
• Ultrasonography served as an effective initial imaging modality to guide the diagnostic pathway.

Implications:

• This case highlights the utility of Color Doppler ultrasonography in the initial evaluation of pediatric patients with undiagnosed abdominal symptoms suggestive of colitis.
• The findings underscore the importance of considering Trichuriasis in the differential diagnosis of pediatric colitis, especially in endemic regions.
• Integrating imaging findings with clinical presentation can expedite the diagnosis and management of pediatric Trichuriasis.