De Leo G, Losacco T, Neri V, D'Eredità G, Natale G, Pitzalis M V
Istituto di Semeiotica Chirurgica, Università degli Studi di Bari.
G Chir. 1993 Oct;14(8):425-30.
The authors report their experience of two cases of acute ileitis with an obstructive complication due to "Ascaris lumbricoides". The distinctive features were, in the first case, the pathogenic mechanism responsible of the occlusion, and in the second one, the need of a long term follow-up. The latter, especially in the "aspecific forms", often allows an etiological diagnosis difficult even at laparotomy. Indicating the most frequent causes of surgical complications found in ileitis, which is a medical disease easily curable by medical and dietetic means, the authors confirm the difficulties of an etiological diagnosis and surgical treatment, increased by the rarity of the disease.
作者报告了两例因“蛔虫”导致急性回肠炎并伴有梗阻性并发症的病例。第一例的显著特征是造成梗阻的致病机制，第二例的显著特征则是需要长期随访。后者，尤其是在“非特异性形式”中，即使在剖腹手术时也常常难以做出病因诊断。作者指出了回肠炎中发现的手术并发症的最常见原因，回肠炎是一种通过药物和饮食手段易于治愈的内科疾病，作者证实了病因诊断和手术治疗的困难，而疾病的罕见性又加剧了这些困难。
