Diseases of the Colon & Rectum

, Volume 39, Issue 10, pp 1159–1163 | Cite as

Intestinal obstruction caused byAscaris Lumbricoides

  • Y. Akgun
Original Contributions
  • 29 Downloads

Abstract

PURPOSE: The aim of this study is to present patients, to discuss causes of morbidity and mortality, and to ascertain prognostic indexes and therapeutic options influencing outcome of patients with intestinal obstruction caused byAscaris lumbricoides.MATERIALS AND METHODS: During the past 20 years, between 1975 and 1995, a total of 17 patients with intestinal obstruction attributable toA. lumbricoidesunderwent surgery. Five were adults, and 12 were children. The most frequent symptoms and physical findings were abdominal pain, distention, nausea, vomiting, and constipation. Enterotomy was performed in ten patients and resection in two patients. Manual exposition and advancement of the parasitic bundle toward the colon was attempted in five patients. Morbidity and mortality rates were 29 and 17 percent, respectively, and septic shock was the major cause of death. RESULTS: This study suggests that simple bowel obstruction is the fatal complication ofA. lumbricoidesinfestation, which is seen particularly in pre-school and young school-aged children living in unhygienic conditions, and illustrates the need for heightened awareness ofA. lumbricoidesby the emergency physician in the differential diagnosis. CONCLUSIONS: Early diagnosis and surgical intervention are essential to minimize high morbidity and mortality.

Key words

Intestinal obstruction Ascaris lumbricoides 

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References

  1. 1.
    Mahmoud AA. Intestinal nematodes. In: Mandell GL, Douglas RG, Bennett JE, eds. Principles and practice of infectious disease. Edinburg: Churchill Livingstone, 1990:2137–8.Google Scholar
  2. 2.
    Surendran N, Paulose MO. Intestinal complications of round worms in children. J Pediatr Surg 1988;23:931–5.Google Scholar
  3. 3.
    Markell EK, Voge M, John DT. The intestinal nematodes. In: Ozmat S, ed. Medical Parasitology. Philadelphia: WB Saunders, 1992:261–93.Google Scholar
  4. 4.
    Wiersma R, Hadley GP. Small bowell volvulus complicating intestinal ascariasis in children. Br J Surg 1988;75:86–7.Google Scholar
  5. 5.
    Thein-Hlaing, Myat-Lay-Kyin, Hlaing-Mya, Maung-Maung. Role of ascariasis in surgical abdominal emergencies in Rangoon Children's Hospital, Burma. Ann Trop Paediatr 1990;10:53–60.Google Scholar
  6. 6.
    Katz Y, Varsano D, Siegal B, Bar-Yochai A. Intestinal obstruction due toAscaris lumbricoides mimicking intussusception. Dis Colon Rectum 1985;28:267–9.Google Scholar
  7. 7.
    Ochoa B. Surgical complications of ascariasis. World J Surg 1991;15:222–7.Google Scholar
  8. 8.
    Ghawss MI, Willan PL. Subacute non-bolus intestinal obstruction caused by Ascaris lumbricoides. Br J Clin Pract 1990;44:243–4.Google Scholar
  9. 9.
    Bar-Maor JA, de Carvalho JL, Chappell J. Gastrografin treatment of intestinal obstruction due to Ascaris lumbricoides. J Pediatr Surg 1984;19:174–6.Google Scholar
  10. 10.
    Wynne JM, Ellman BA. Bolus obstruction by Ascaris lumbricoides. S Afr Med J 1983;63:644–6.Google Scholar
  11. 11.
    Efem SE. Ascaris lumbricoides and intestinal perforation. Br J Surg 1987;74:643–4.Google Scholar

Copyright information

© American Society of Colon and Rectal Surgeons 1996

Authors and Affiliations

  • Y. Akgun
    • 1
  1. 1.Department of General SurgeryDicle University School of MedicineDiyarbakirTurkey

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