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Intestinal obstruction caused by Ascaris lumbricoides
1Dicle University School of Medicine, Department of General Surgery, Diyarbakir, Turkey.
Diseases of the Colon and Rectum
|October 1, 1996
Summary
Intestinal obstruction caused by Ascaris lumbricoides (roundworm) is a serious condition, particularly in children. Prompt surgical intervention is crucial for survival and to reduce complications like septic shock.
Area of Science:
- Medical Parasitology
- Gastroenterology
- Pediatric Surgery
Background:
- Intestinal obstruction is a severe complication of Ascaris lumbricoides infestation.
- This condition disproportionately affects children in areas with poor sanitation.
Purpose of the Study:
- To analyze patient demographics, causes of morbidity and mortality.
- To identify prognostic indicators and therapeutic strategies for Ascaris-induced intestinal obstruction.
Main Methods:
- Retrospective review of 17 patients (12 children, 5 adults) who underwent surgery for intestinal obstruction due to A. lumbricoides between 1975 and 1995.
- Surgical procedures included enterotomy, resection, and manual advancement of parasitic masses.
- Analysis of presenting symptoms, surgical interventions, and outcomes.
Main Results:
- Abdominal pain, distention, nausea, vomiting, and constipation were common symptoms.
- Morbidity was 29% and mortality was 17%, with septic shock being the primary cause of death.
- Simple bowel obstruction is identified as a fatal complication, especially in young children.
Conclusions:
- Ascaris lumbricoides infestation can lead to life-threatening intestinal obstruction.
- Emergency physicians must maintain a high index of suspicion for Ascaris in differential diagnoses.
- Timely diagnosis and surgical management are vital to reduce mortality and morbidity.