Khan Mohammad Nasim, Khan Isra, Alvi Emad, Ahmad Iftikhar
Department of Pediatrics, Umm Al-Qura University, Makkah, SAU.
Department of Radiology, Jawaharlal Nehru Medical College - Aligarh Muslim University, Aligarh, IND.
Cureus. 2023 Jan 18;15(1):e33909. doi: 10.7759/cureus.33909. eCollection 2023 Jan.
is a fairly common intestinal nematode affecting children worldwide, leading to major medical and surgical complications. Although most of the cases are asymptomatic, heavy infestation causes various acute abdominal complications. -induced intestinal intussusception is one of the rare presentations. We report a case of a 13-year-old boy with infestation presenting with ileocolic intussusception. The patient presented to the emergency unit with colicky abdominal pain, vomiting, and constipation for two days. He was sick-looking and dehydrated. Further examination revealed diffuse abdominal distension with tenderness, guarding, and palpable mass in the right lower quadrant. Ultrasonography showed long-segment ileocolic intussusception with several worms in the intestinal lumen and adjacent mesenteric lymphadenopathy. An exploratory laparotomy was performed, which revealed ileocolic intussusception. The telescopic loop of the ileum was found to be gangrenous and was resected, and a loop ileostomy was performed. The patient was discharged on the seventh day postoperatively without any complications. Physicians in tropical and subtropical countries should consider this condition in the differential diagnosis when they encounter similar presentations in their clinical practice. Sonography is a non-invasive, easy-to-use, and widely available imaging modality that can be employed to diagnose entrapped in cases presenting with acute gastrointestinal complications. Early diagnosis and prompt surgical intervention can prevent bowel ischemia/gangrene and significantly reduce morbidity and mortality associated with such cases.
是一种相当常见的肠道线虫，影响着全球的儿童，会导致严重的医学和外科并发症。尽管大多数病例无症状，但重度感染会引发各种急性腹部并发症。[线虫名称]诱发的肠套叠是一种罕见的表现形式。我们报告一例13岁男孩因[线虫名称]感染出现回结肠套叠的病例。该患者因绞痛性腹痛、呕吐和便秘两天就诊于急诊科。他看起来病恹恹的且脱水。进一步检查发现全腹膨隆，有压痛、肌紧张，右下腹可触及肿块。超声检查显示长段回结肠套叠，肠腔内有几条蠕虫，且伴有相邻肠系膜淋巴结肿大。进行了剖腹探查术，发现为回结肠套叠。发现回肠套叠的肠袢已坏疽，予以切除，并进行了回肠造口术。患者术后第七天出院，无任何并发症。热带和亚热带国家的医生在临床实践中遇到类似表现时，应在鉴别诊断中考虑这种情况。超声检查是一种无创、易用且广泛可用的成像方式，可用于诊断在出现急性胃肠道并发症的病例中被困的[线虫名称]。早期诊断和及时的手术干预可预防肠缺血/坏疽，并显著降低与此类病例相关的发病率和死亡率。
