San Lorenzo Mother and Child Center, Universidad Nacional de Asunción, Asunción, Paraguay.
Surg Infect (Larchmt). 2010 Apr;11(2):183-5. doi: 10.1089/sur.2008.103.
Ascariasis continues to be one of the most important parasitic diseases in terms of its burden and complications in children in the developing world.
Case report and literature review (Medline, SCI, and LILACS).
We report herein a case in which a Paraguayan infant presented with one of these complications: An intestinal obstruction due to Ascaris lumbricoides being diagnosed during surgery. The patient was managed with a conservative protocol for the extraction of the parasites using liquid petrolatum administered through a nasogastric tube followed with extensive water irrigation through the tube, in conjunction with the administration of piperazine as antiparasitic treatment.
This case, as with others reported previously, shows that this complication can be managed successfully without major intestinal surgery. Early recognition of this condition, based on local prevalence, can prevent serious surgical complications, morbidity, and mortality associated with intestinal obstruction due to A. lumbricoides.
在发展中国家儿童中，蛔虫病的负担和并发症使其成为最重要的寄生虫病之一。
病例报告和文献回顾（Medline、SCI 和 LILACS）。
我们在此报告了一例患儿出现了其中一种并发症：由于手术中诊断出的蛔虫引起的肠梗阻。该患者采用保守方案进行治疗，通过鼻胃管给予液体凡士林以提取寄生虫，然后通过管进行大量水冲洗，同时给予哌嗪作为驱虫治疗。
与以前报告的其他病例一样，本例表明这种并发症可以在不进行重大肠道手术的情况下成功治疗。根据当地流行情况早期识别这种情况，可以预防因蛔虫引起的肠梗阻导致的严重手术并发症、发病率和死亡率。
