Ihekwaba F N
Br J Surg. 1979 Feb;66(2):132-4. doi: 10.1002/bjs.1800660215.
Ileal perforation due to typhoid bacilli is the commonest cause of peritonitis in the Tropics. Perforation due to Ascaris lumbricoides is rare. Three cases of ileal perforation believed to be due to A. lumbricoides are presented and the evidence critically reviewed. It is suggested that signs of heavy infestation with A. lumbricoides make a diagnosis of intestinal perforation more likely in a patient with an acute abdomen.
伤寒杆菌引起的回肠穿孔是热带地区腹膜炎最常见的病因。蛔虫引起的穿孔较为罕见。本文报告了3例据信由蛔虫引起的回肠穿孔病例，并对相关证据进行了严格审查。研究表明，蛔虫重度感染的体征使急腹症患者更有可能被诊断为肠穿孔。
