Helminthic intestinal perforations in children: our experience.

Area of Science:

• Gastroenterology
• Pediatric Surgery
• Infectious Diseases

Background:

• Ascariasis is the most common helminthic infestation globally.
• Intestinal perforations due to worms are rare but can lead to severe complications.
• Increased migration from endemic regions necessitates awareness in developed countries.

Purpose of the Study:

• To highlight the importance of considering ascariasis in cases of intestinal obstruction and perforation.
• To report on the clinical presentations, diagnostic methods, and outcomes in children with Ascaris-induced intestinal perforation.
• To emphasize the need for early diagnosis and prompt management of this condition.

Main Methods:

• Case series analysis of five pediatric patients with intestinal perforation due to ascariasis.
• Review of clinical presentations, diagnostic imaging (e.g., X-ray, ultrasound, CT scans), and surgical interventions.
• Analysis of treatment strategies and patient outcomes.

Main Results:

• Five children presented with intestinal perforation secondary to Ascaris infection.
• Clinical presentations varied, with intestinal obstruction being a common feature.
• Surgical intervention was necessary for all cases, with successful outcomes reported.

Conclusions:

• Ascariasis should be considered in the differential diagnosis of intestinal perforation, especially in children from or who have traveled to endemic areas.
• Prompt diagnosis and surgical management are critical for favorable outcomes.
• Raising clinical awareness is essential for timely intervention and reducing morbidity and mortality.