medigraphic.com
SPANISH

Cirujano General

ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2010, Number 1

<< Back

Cir Gen 2010; 32 (1)

Appendicular perforation due to Ascaris lumbricoides in an endemic zone of the State of Chiapas, Mexico. Case report

Sánchez GR, Patricio GVL, Vázquez RJA
Full text How to cite this article

Language: Spanish
References: 7
Page: 58-60
PDF size: 108.75 Kb.


Key words:

Ascaris lumbricoides, appendicular perforation.

ABSTRACT

Objective: To inform on the presence of ascariasis requiring surgery in our milieu.
Setting: General Hospital No 2, IMSS Tuxtla Gutierrez, Chiapas, Mexico.
Design: Clinical case presentation.
Description of the case: A 4-year-old girl, who had received orally a wide-spectrum antihelmintic pharmacological treatment 36 hours before. She was admitted with a history of 12 h of intense abdominal pain, nauseas and vomits, with important abdominal distention and peritoneal irritation data. Imaging studies consisted of abdominal X-rays that revealed free air and free fluids, inter-loop edema, loops dilation in the small intestine, coprostasis, erasing of the psoas. Laboratory tests: 25,100 leukocytes and 3% banded; with these data and based on the clinical symptoms she was taken to the operating room with presumptive pre-surgical diagnoses of acute appendicitis/intestinal occlusion/intestinal perforation. Exploratory laparotomy was performed, finding a moving body of an Ascaris in lumbricoides partially outside of the vermiform appendix that had a perforation. Appendicectomy was performed and the parasite was extracted. The patient evolved satisfactorily and she was discharged without presenting any complications.


REFERENCES

  1. Vásquez-Tsuji O, Gutiérrez-Castrellón P, Yamazaki-Nakashimada MA, Arredondo-Suárez JC, Campos Rivera T, Martínez-Barbosa I. Antihelmínticos como factor de riesgo en la obstrucción intestinal por áscaris lumbricoides en niños. Bol Chil Parasitol 2000; 55: 3-7.

  2. Rahman H, Pandey S, Mishra PC, Sharan R, Srivastava AK, Agarwal VK. Surgical manifestations of ascariasis in childhood. J Indian Med Assoc 1992; 90: 37-9.

  3. Steinberg R, Davies J, Millar AJ, Brown RA, Rode H. Unusual intestinal sequelae after operations for ascaris lumbricoides infestation. Pediatr Surg Int 2003; 19: 85-7.

  4. Hefny AF, Saadeldin YA, Abu-Zidan FM. Management algorithm for intestinal obstruction due to ascariasis: a case report and review of the literature. Ulus Travma Acil Cerrahi Derg 2009; 15: 301-5.

  5. Villamizar E, Méndez M, Bonilla E, Varon H, de Onatra S. Ascaris lumbricoides infestation as a cause of intestinal obstruction in children: experience with 87 cases. J Pediatr Surg 1996; 31: 201-4.

  6. Pandit SK, Zarger HU. Surgical ascariasis in children in Kashmir. Trop Doct 1997; 27: 13-4.

  7. Sánchez-Pérez HJ, Vargas-Morales MG, Méndez-Sánchez JD. Bacteriological quality of human drinking water in high-margination zones in Chiapas. Salud Pública Mex 2000; 42: 397-406.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Cir Gen. 2010;32