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Published on: August 22, 2012
Massive gastrointestinal bleeding associated with hookworm infestation in a child: case report
A Minocha1, D K Mitra, P Sahni
1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Hookworm infestation can cause severe gastrointestinal bleeding, necessitating surgical intervention. Early diagnosis of this parasitic cause is crucial to prevent extensive medical procedures in endemic regions.
Area of Science:
- Medical Parasitology
- Gastroenterology
- Surgical Case Reports
Background:
- Gastrointestinal bleeding is a significant clinical challenge.
- Hookworm infestation is a common parasitic disease in endemic areas.
Purpose of the Study:
- To report a rare case of massive hematochezia caused by hookworm infestation.
- To highlight the importance of considering hookworm as a differential diagnosis for obscure gastrointestinal bleeding.
Main Methods:
- Case report detailing clinical presentation, diagnostic workup, and surgical interventions.
- Review of relevant literature on hookworm-induced gastrointestinal bleeding.
Main Results:
- Massive hematochezia was ultimately attributed to hookworm infestation.
- Two laparotomies were required before the diagnosis was confirmed.
- Successful management involved addressing the parasitic cause.
Conclusions:
- Hookworm infestation should be considered in patients presenting with severe gastrointestinal bleeding, especially in endemic regions.
- Early recognition of hookworm infestation can prevent unnecessary investigations and surgical procedures.
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