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Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
Post-partum pyogenic abscess containing Ascaris lumbricoides
Raashid Hamid1, Sajad Wani, Nawab Ahmad
1Department of General Surgery, Sher-i-Kashmir Institute of Medical Sciences Medical College (Skims), Srinagar, Jammu and Kashmir, India.
A rare case of liver abscesses caused by Ascariasis lumbricoides in a postpartum woman was treated successfully. Surgical drainage removed the abscesses and the parasitic worms, leading to a good recovery.
Area of Science:
- Hepatology
- Infectious Diseases
- Parasitology
Background:
- Pyogenic liver abscesses are serious infections.
- Ascariasis lumbricoides is a common intestinal nematode.
- Liver abscesses due to Ascariasis are rare, especially in postpartum women.
Purpose of the Study:
- To report an unusual case of multiple pyogenic liver abscesses co-infected with Ascariasis lumbricoides.
- To highlight the diagnostic and management challenges in such cases.
Main Methods:
- A case study of a 35-year-old postpartum female.
- Clinical presentation, diagnostic imaging, and laboratory findings were reviewed.
- Surgical intervention involving open drainage of liver abscesses and removal of liver worms was performed.
Main Results:
- Multiple pyogenic liver abscesses were identified.
- Ascariasis lumbricoides (liver worms) were found within the abscesses.
- The patient experienced a successful recovery following surgical drainage and worm removal.
Conclusions:
- This case underscores the importance of considering parasitic infections in pyogenic liver abscesses, even in atypical presentations.
- Prompt surgical intervention is crucial for favorable outcomes in such complex cases.
- Ascariasis lumbricoides can present with severe hepatic manifestations.
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