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Updated: Jul 8, 2026
10:05
Trichuris muris Infection: A Model of Type 2 Immunity and Inflammation in the Gut
Published on: May 24, 2011
16.3K
An ascaris twist.
1George Regional Hospital, South Africa.
Summary
Ascaris lumbricoides can cause life-threatening small bowel volvulus in children. Prompt surgical intervention is crucial for suspected worm bolus complications like peritonism and acidosis to prevent perforation.
Area of Science:
- Medical Parasitology
- Pediatric Surgery
- Gastrointestinal Emergencies
Background:
- Ascariasis, caused by Ascaris lumbricoides, is a common intestinal parasite, particularly in resource-limited settings.
- While often asymptomatic or causing mild symptoms, Ascaris infections can lead to severe gastrointestinal complications.
Purpose of the Study:
- To report a case of pediatric small bowel obstruction and volvulus caused by an Ascaris worm bolus.
- To emphasize the critical, life-threatening potential of Ascaris worm bolus complications.
Main Methods:
- Case report of a five-year-old male presenting with symptoms of small bowel obstruction.
- Diagnostic imaging including plain abdominal radiography to identify a worm bolus.
- Surgical exploration (laparotomy) due to peritonism and acidosis.
Main Results:
- A large Ascaris worm bolus was identified as the cause of small bowel volvulus.
- A segment of necrotic small bowel was present due to the volvulus.
- Successful surgical management involved detorsion and resection of the affected segment.
Conclusions:
- Small bowel volvulus due to an Ascaris worm bolus is a rare but life-threatening complication.
- Vigilant observation for signs of sepsis, acidosis, and peritonism is essential in suspected cases.
- Early surgical intervention is critical to prevent morbidity and mortality associated with perforation.
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