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Intraperitoneal ascariasis.

P L Rao1, G Satyanarayana, A Venkatesh

  • 1Department of Pediatric Surgery, Kasturba Medical College & Hospital, Manipal, South India.

Journal of Pediatric Surgery
|October 1, 1988
PubMed
Summary
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Peritoneal ascariasis, a rare complication of roundworm infestation, can occur in children. Suspect this condition in children with peritonitis or abdominal masses, especially if they show signs of ascarial infestation.

Area of Science:

  • Pediatric Surgery
  • Infectious Diseases
  • Gastroenterology

Background:

  • Ascariasis is a common intestinal nematode infection worldwide.
  • Intraperitoneal ascariasis is a rare but serious complication.
  • Ascariasis can lead to various abdominal pathologies.

Purpose of the Study:

  • To report cases of intraperitoneal ascariasis in children.
  • To highlight the clinical presentation and management of this condition.
  • To increase awareness among clinicians regarding this rare presentation of ascariasis.

Main Methods:

  • Retrospective case series.
  • Review of medical records of children diagnosed with intraperitoneal ascariasis.
  • Clinical and radiological findings were analyzed.

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Main Results:

  • Seven children with intraperitoneal ascariasis were identified.
  • One child experienced two episodes of the condition.
  • Four cases presented with free worms in the peritoneal cavity; others had peritoneal abscesses containing roundworms.

Conclusions:

  • Intraperitoneal ascariasis should be considered in the differential diagnosis of pediatric peritonitis or inflammatory abdominal masses.
  • Early suspicion and diagnosis are crucial for timely management.
  • Evidence of ascarial infestation is a key indicator for suspecting this condition.