Megaduodenum associated with gastric strongyloidiasis

Area of Science:

• Gastroenterology
• Infectious Diseases
• Parasitology

Background:

• Gastric strongyloidiasis and megaduodenum are rare conditions.
• Gastrointestinal strongyloidiasis presents with diverse clinical manifestations, including megaduodenum.
• Strongyloides stercoralis is endemic in certain geographical regions.

Purpose of the Study:

• To describe a rare case of gastric strongyloidiasis presenting as megaduodenum.
• To emphasize the diagnostic considerations for Strongyloides stercoralis in patients with gastrointestinal issues and a history of megaduodenum.

Main Methods:

• Case report of a 32-year-old male patient from an endemic area for Strongyloides stercoralis.
• Patient had a prior diagnosis of megaduodenum and underwent two surgical procedures.
• Histopathological examination confirmed gastric strongyloidiasis.

Main Results:

• The patient recovered and gained weight following a Roux-en-Y partial gastrectomy.
• Histopathology confirmed the presence of gastric strongyloidiasis.
• The patient experienced an uneventful recovery post-surgery.

Conclusions:

• Strongyloides stercoralis should be considered in patients from endemic areas presenting with gastrointestinal symptoms or a history of megaduodenum.
• Histological evaluation is crucial for diagnosing gastric strongyloidiasis in such cases.
• Early diagnosis and appropriate treatment can lead to favorable outcomes.