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Small bowel Ascaris infestation: a diagnostic challenge.
Muhammad Waqas Khan1, Sanniya Khan Ghauri1
1Section of Medicine, Department of Emergency Medicine, WHO Collaborating Centre for Emergency Medicine and Trauma Care, Aga Khan University Hospital, Karachi, Pakistan.
International Journal of General Medicine
|May 14, 2016
Summary
Ascariasis, a roundworm infection common in developing nations, can mimic acute intestinal obstruction. This case highlights how a barium study identified a low-burden infestation managed successfully with medication.
Area of Science:
- Tropical Medicine
- Parasitology
- Pediatric Gastroenterology
Background:
- Ascariasis is a prevalent soil-transmitted helminthiasis in regions with inadequate sanitation.
- Most infections are asymptomatic, but complications like intestinal obstruction can occur, posing diagnostic challenges.
Observation:
- A pediatric case presented with symptoms suggestive of acute intestinal obstruction.
- Initial radiological assessments did not reveal clear evidence of obstruction.
Findings:
- A barium study was crucial in diagnosing a low-burden Ascaris lumbricoides infestation.
- The patient's condition was successfully managed through medical intervention.
Implications:
- This case underscores the importance of considering parasitic infections in the differential diagnosis of acute abdominal conditions, even with low parasite burdens.
- Medical management can be effective for ascariasis presenting as intestinal obstruction, avoiding surgical intervention.
