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Ascaris peritonitis and peritoneal granuloma in China
1Department of Surgery, Third Affiliated Hospital, Hunan Medical University, Changsha City, People's Republic of China.
Insights
Ascaris infection can cause gastrointestinal perforation and peritonitis, particularly in children. Prompt diagnosis and surgical intervention are crucial for managing this severe condition and preventing complications like peritoneal granuloma.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Infectious Diseases
Background:
- Ascariasis is a common helminthic infection globally.
- Gastrointestinal perforation due to Ascaris is a serious complication, especially in endemic regions.
- This review focuses on the Chinese literature regarding Ascaris-induced gastrointestinal perforation.
Observation:
- Ascaris infection can lead to acute abdominal disease and peritonitis.
- Children are the most commonly affected demographic.
- The morbidity rate is 21.4% and the mortality rate is 15.2% in reported cases.
Findings:
- Early detection and surgical intervention are critical for improving outcomes.
- Ascaris perforation can result in peritoneal granuloma formation.
- Peritoneal granuloma presents differently and has a distinct prognosis compared to acute peritonitis.
Implications:
- Highlights the severity of Ascaris-induced gastrointestinal complications.
- Emphasizes the need for timely medical and surgical management.
- Suggests further research into the long-term sequelae, such as peritoneal granuloma.
Abstract:
This article is a survey of the Chinese literature of perforation of gastrointestinal tract by ascaris. We wish to draw attention to the acute abdominal disease of ascaris infection, and acute ascaris peritonitis as a result of perforation, most cases being found in children. The disease has very high morbidity (24/112; 21.4%) and high mortality (17/112; 15.2%). Early detection and operation are of critical importance. Perforation of gastrointestinal tract by ascaris may develop into peritoneal granuloma, which has a different clinical presentation and outcome.