Bolus obstruction by Ascaris lumbricoides

Area of Science:

• Medical Science
• Parasitology
• Gastroenterology

Background:

• Intestinal obstruction is a significant clinical challenge.
• Ascaris lumbricoides infections can lead to severe complications, including obstruction.

Purpose of the Study:

• To review cases of intestinal obstruction caused by Ascaris worm bolus.
• To evaluate diagnostic methods and treatment outcomes for Ascaris-induced obstruction.

Main Methods:

• Retrospective review of 73 cases with Ascaris worm bolus obstruction.
• Diagnosis based on palpable mass or radiographic findings.
• Analysis of treatment strategies: conservative versus surgical.

Main Results:

• Diagnosis confirmed in 73 patients.
• Conservative treatment was successful in 67 cases (91.8%).
• Six patients (8.2%) required surgery, 5 due to clinical deterioration; no surgical deaths occurred.

Conclusions:

• Ascaris worm bolus obstruction is often manageable with conservative measures.
• Prompt diagnosis and reassessment are crucial for optimal patient outcomes.
• Surgical intervention is reserved for severe or deteriorating cases.