2010, Number 1
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
Language: Spanish
References: 7
Page: 58-60
PDF size: 108.75 Kb.
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.
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