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Surgical complications of Ascaris lumbricoides in children

Raghu S Ramareddy1, Anand Alladi, O S Siddapa

  • 1Department of Paediatric Surgery, Vani Vilas Hospital, Bangalore Medical College and Research Institute, Bangalore, India.

Journal of Indian Association of Pediatric Surgeons
|August 8, 2012
PubMed

Insights

Surgical complications of Ascaris lumbricoides infestation in children, including volvulus and perforations, require prompt intervention. Early surgical management can significantly reduce mortality from ascariasis complications.

Area of Science:

  • Pediatric Surgery
  • Infectious Diseases
  • Gastroenterology

Background:

  • Ascariasis, caused by Ascaris lumbricoides, is a common helminthic infection.
  • Complications of ascariasis can lead to significant morbidity and mortality in children.

Purpose of the Study:

  • To document the spectrum of surgical complications arising from Ascaris lumbricoides infestation in pediatric patients.
  • To evaluate the effectiveness of diagnostic imaging and surgical interventions for these complications.

Main Methods:

  • Retrospective analysis of pediatric cases with surgical complications of intestinal ascariasis.
  • Exclusion of conservatively managed cases.
  • Review of radiographic and sonographic findings, surgical procedures, and outcomes.

Main Results:

  • Sixteen children experienced complications including ileal volvulus, perforations, intussusception, biliary ascariasis, and worm boluses.
  • Radiography and sonography identified key findings like pneumoperitoneum, worm boluses, and free fluid.
  • Surgical interventions included worm milking, bowel resection, and perforation repair; 3 deaths occurred, primarily due to volvulus and toxemia.

Conclusions:

  • Sonography is valuable for diagnosing ascariasis complications and monitoring treatment response.
  • Timely surgical intervention for worm bolus, peritonism, and volvulus is crucial for preventing mortality and preserving bowel.
Abstract

Keywords:
Acute abdomenascariasisintestinal complications

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