Ascaris lumbricoides infection affects about 1.5 billion bodies globally. Children with ecology and socio-economic accident factors are added affected to infestation, with austere complications such as belly obstruction (IO), volvulus, intussusception, and belly necrosis.
We present the case of a 3-year-old babe who accustomed at emergency administration with belly affliction and diarrhea for the aftermost 3 days. The antecedent day she took an bearding anthelmintic. Symptoms worsened with airsickness and diarrhea, with banishment of roundworms through aperture and anus. Physical assay appear bloating, absence of bowel sounds, belly tenderness, and a apparent accumulation in appropriate hemi-abdomen. Belly radiographs showed air-fluid levels with balmy bowel appendage and caliginosity of roundworms. The analysis of IO by A lumbricoides. bane was accustomed and surgical admission scheduled. During basic laparotomy an intraluminal bolus of roundworms from jejunum to antecedent colon was evident. An ileum enterotomy was performed and worms were removed. Fluid analysis and antibiotics for 72 hours were administered, with after albendazol analysis for 3 days. Patient was uneventfully absolved on the tenth day.
Reduction in abject amount by agency of improvements in sanitation, bloom education, and anthelmintic analysis charge be implemented in ancient zones to anticipate austere life-threatening complications by A lumbricoides. infestation, because some of them crave burning surgical treatment.
From the General Surgery Department, Instituto Mexicano del Seguro Social, Hospital General Regional No. 17. Cancún, Quintana Roo, (AMA, YP, CL, SSC); Applied Biotechnique Department, Instituto Nacional de Cardiología Ignacio Chavez. Distrito Federal, México (AMA, GOR); and Internal Medicine Department, Hospital de Especialidades, Distrito Federal, México (LMA).
Correspondence: Angel Medina Andrade, General Surgery Department, Instituto Mexicano del Seguro Social, Hospital General Regional No. 17.Av. Politécnico Manzana 1 Lote 1 Región 509 C.P. 55750, Cancún, Quintana Roo, México (e-mail: [email protected]).
Abbreviation: IO = belly obstruction.
The authors accept no conflicts of absorption to disclose.
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Received January 22, 2015
Received in revised anatomy February 22, 2015
Accepted February 23, 2015
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