Abdominal complications of ascaris lumbricoides in adults: A prospective hospital based 8 year experience from an endemic area of north India.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 5
Abstract
Objective. The ascariasis is one of the most cosmopolitan intestinal parasite infections, and its biggest prevalence is observed in the tropical and subtropical areas. We are presenting a study emphasizing on ascariasis complications especially in adult patients, which has not been conducted so far in detail in the past. Methods. A total of 198 patients of roundworm infestation were included in this study from 2008-2016. All these patients were more than 18 years of age and presented with some form of abdominal complication due to ascariasis. After proper diagnosis,treatment was initiated subsequently depending upon the condition of the patient. Majority of the patients were managed conservatively. Rest of the cases were managed by surgical or endoscopic intervention. Results. Out of 198 patients, 130 patients ( 66% ) presented with hepato-biliary disease. Of these 130 cases,100 patients ( 77% ) had biliary colic, 21 patients ( 16% ) had cholangitis, 7 ( 5.5% ) patients had acalcular cholecystitis, and 2 ( 1.5% ) patients presented with liver abscess. 36 ( 18% ) patients out of 198 patients presented with pancreatic disease, and 20 (10%) patients presented to us with intestinal obstruction-14 had sub-acute intestinal obstruction and 6 patients presented with acute obstruction. Out of total 198 patients, 6 (3%) patients presented with peritonitis (perforation), 4 (2%) patients presented with acute appendicitis and 2 (1%) patients had meckle’s diverticulitis. Conclusion. Ascaris lumbricoides can present as acute abdomen in adult patients. Thus a clinician in emergency department should consider ascariasis as one of the differential diagnosis in case of acute abdomen in adults in an endemic area, which otherwise he is likely to miss in the first contact.
Authors and Affiliations
Khurshid Ahmad Ganaie
Keywords
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