Tumwesige Charles, Nek Arthur J, Odulusi Daniel, Meghoo Colin, Ebine Johnson
General Surgery, Kabale University School of Medicine, Kabale, UGA.
Surgery, CHI Good Samaritan Hospital, Kearney, USA.
Cureus. 2025 Apr 6;17(4):e81813. doi: 10.7759/cureus.81813. eCollection 2025 Apr.
Intestinal infestation with ascaris worms is very common worldwide and usually causes minimal or no abdominal symptoms. Severe abdominal complications such as bowel obstruction may occur, but bowel perforation from ascariasis is rare. We present a case of a seven-year-old boy who initially presented with typhoid fever and then developed ascaris peritonitis requiring emergent surgery. We discuss preoperative diagnosis and perioperative management, as well as the purported mechanisms of coinfection with typhoid fever and ascariasis that can lead to small bowel perforation.
蛔虫在肠道内寄生在全球范围内非常普遍，通常只会引起轻微的腹部症状或没有症状。严重的腹部并发症如肠梗阻可能会发生，但蛔虫病导致的肠穿孔很少见。我们报告一例七岁男孩的病例，该男孩最初表现为伤寒热，随后发展为蛔虫性腹膜炎，需要紧急手术。我们讨论了术前诊断和围手术期管理，以及伤寒热和蛔虫病合并感染导致小肠穿孔的可能机制。
