Supangat Supangat, Achmad Ilham Tohari, Rihhadatul Aisy, Muhammad Rijal Fahrudin Hidayat, Muhammad Yuda Nugraha, Nabil Athoillah, Nurul Ima Suciwiyati, Muhammad Ali Shodikin, Yunita Armiyanti
{"title":"Intestinal obstruction due to Ascaris lumbricoides in child: a case report.","authors":"Supangat Supangat, Achmad Ilham Tohari, Rihhadatul Aisy, Muhammad Rijal Fahrudin Hidayat, Muhammad Yuda Nugraha, Nabil Athoillah, Nurul Ima Suciwiyati, Muhammad Ali Shodikin, Yunita Armiyanti","doi":"10.1186/s13256-025-05200-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Ascariasis in humans is one of the most significant neglected tropical diseases. Usually, the manifestation of ascariasis may vary in each case. In severe cases, ascariasis may lead to intestinal obstruction or perforation of the intestine due to the large number of worms. Here, we report a case of intestinal obstruction due to A. lumbricoides in a 3-year-old boy.</p><p><strong>Case presentation: </strong>A 3-year-old Maduranese boy was admitted to the pediatric division with constipation and an enlarged abdomen. During a day of in-hospital observation, the patient vomited worms, which were then identified, and he was diagnosed with ascariasis. The abdominal X-ray showed meteorism with suspected intestinal obstruction. The laboratory test showed anemia and leukocytosis. The exploration laparotomy and ileostomy were performed to extract the worms. The patient was given pyrantel pamoate and albendazole as antiparasitic treatment.</p><p><strong>Conclusion: </strong>Intestinal obstruction is a rare manifestation of ascariasis but still should be considered, especially in an endemic area. Detailed anamnesis and comprehensive therapy, including surgery and parasitic treatment, may be beneficial for the patient. Increasing hygiene and taking antihelminthic drugs every 6 months may reduce the infection and complications.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"171"},"PeriodicalIF":0.9000,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987414/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s13256-025-05200-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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Abstract
Background: Ascariasis in humans is one of the most significant neglected tropical diseases. Usually, the manifestation of ascariasis may vary in each case. In severe cases, ascariasis may lead to intestinal obstruction or perforation of the intestine due to the large number of worms. Here, we report a case of intestinal obstruction due to A. lumbricoides in a 3-year-old boy.
Case presentation: A 3-year-old Maduranese boy was admitted to the pediatric division with constipation and an enlarged abdomen. During a day of in-hospital observation, the patient vomited worms, which were then identified, and he was diagnosed with ascariasis. The abdominal X-ray showed meteorism with suspected intestinal obstruction. The laboratory test showed anemia and leukocytosis. The exploration laparotomy and ileostomy were performed to extract the worms. The patient was given pyrantel pamoate and albendazole as antiparasitic treatment.
Conclusion: Intestinal obstruction is a rare manifestation of ascariasis but still should be considered, especially in an endemic area. Detailed anamnesis and comprehensive therapy, including surgery and parasitic treatment, may be beneficial for the patient. Increasing hygiene and taking antihelminthic drugs every 6 months may reduce the infection and complications.
期刊介绍：
JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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