Preferences help
enabled [disable] Abstract
Number of results
2011 | 6 | 4 | 390-394
Article title

A rare case of intestinal obstruction due to ascariasis in Niš, south Serbia

Title variants
Languages of publication
Ascariasis is a helminthic infection of global distribution, and intestinal obstruction is its most common gastrointestinal complication. This is a case of a 7-year-old boy admitted to Pediatric Surgery because of intestinal obstruction caused by ascariasis. On admission, the patient presented with colicky abdominal pain, bile-stained vomiting and meteorism. On physical examination, the patient was thin, pale, and dehydrated. An abdominal examination showed distention and diffuse tenderness. After admission, the patient had fecal vomiting and expulsion of worms through the mouth. Laboratory-test results showed leucocytosis, eosinophilia, hypoalbuminaemia, and hypochloremia. Abdominal radiographs and ultrasound studies were indicative of small-bowel obstruction due to roundworms, which led to the performance of an exploratory laparotomy. On bowel exploration, an intraluminal mass, 10 by 6 cm in diameter, consisting of roundworms in the middle third of the ileum was found. A longitudinal enterotomy was performed, and the worms were meticulously extracted manually. Postoperatively, broad-spectrum antibiotics and antihelminthic drugs were administered. Our case of intestinal obstruction caused by ascariasis is the first to be reported in Serbia, according to the Serbian literature.
Physical description
1 - 8 - 2011
1 - 6 - 2011
  • Clinic of Pediatric Surgery, Clinical Centre Nis, 18000, Nis, Serbia
  • Clinic of Pediatric Surgery, Clinical Centre Nis, 18000, Nis, Serbia
  • Clinic of Pediatric Surgery, Clinical Centre Nis, 18000, Nis, Serbia
  • Clinic of Pediatric Surgery, Clinical Centre Nis, 18000, Nis, Serbia
  • Clinic of Pediatric Surgery, Clinical Centre Nis, 18000, Nis, Serbia
  • [1] Gil J.G., Esturo C.L., Ayala R.P., Intestinal obstrtuction due to Ascaris, The Internet Journal of Surgery, volume 8, number 2, 2006,
  • [2] Baba A.A., Ahmad S.M., Sheikh K.A., Intestinal ascariasis: the commonest cause of bowel obstruction in children at a tertiary care center in Kashmir, Pediatr. Surg. Int., 2009, 25, 1099–1102[Crossref]
  • [3] Mishra P.K., Agrawal A., Joshi M., Sanghvi B., Shah H., Parelkar S.V., Intestinal obstruction in children due to Ascariasis: A tertiary health centre experience, Afr. J. Paediatr. Surg., 2008, 5(2), 65–70[Crossref]
  • [4] Rode H., Cullis S., Millar A., Cremin B., Cywes S., Abdominal complications of Ascaris lumbricoides in children, Pediatr. Surg. Int., 1990, 5, 397–401[Crossref]
  • [5] Yilmaz H., Turkdogan M.K., Akdeniz H., Kati I., Demiroz A.P., Ascaris lumbricoides in the oral cavity: a case report, Eastern Journal of Medicine, 1998, 3(2), 75–76
  • [6] Refeidi A., Live Ascaris lumbricoides in the peritoneal cavity, Ann. Saudi. Med., 2007, 27(2), 118–121[WoS][Crossref]
  • [7] Wani I., Rather M., Naikoo G., Amin A., Mushtaq S., Nazir M., Intestinal Ascariasis in Children, World J. Surg., 2010, 34, 963–968[Crossref]
  • [8] Hefty A.F., Saadeldin Y.A., Abu-Zindan F.M., Management algorithm for intestinal obstruction due to ascariasis: a case report and review of the literature, Turkish Journal of Trauma & Emergency Surgery, 2009, 15(3), 301–305
  • [9] Shiekh KA, Baba AA, Ahmad SM, Shera AH, Patnaik R, Sherwani AY. Mechanical small bowel obstruction in children at a tertiary care centre in Kashmir. Afr J Paediatr Surg 2010;7:81–85[Crossref]
  • [10] Gangopadhyay A.N., Upadhyaya V.D., Gupta D.K., Sharma S.P., Kumar V., Conservative Treatment for Round Worm Intestinal Obstruction, Indian J. Pediatr., 2007, 74(12), 1085–1087[Crossref]
  • [11] Wardhan H., Gangopadhyay A.N., Gopal S.C., Singhal G.D., Ascaris lumbricoides causing intestinal obstruction in children-a review of 33 cases, Pediatr. Surg. Int., 1989, 4, 88–89[Crossref]
  • [12] Königovà A., Kinčekovà J., Hrčkovà G., Velebný S., Vàrady M., Pavlovà J., Kucha M., Nematode infections in Slovak children hospitalized during 2008–2009, Helminthologia, 2010, 47(4), 204–211[Crossref]
  • [13] Köksal F., Başlanti I., Samasi M., A retrospective evaluation of the prevalence of intestinal parasites in Istanbul, Turkey, Turkiye Parazitol Derg., 2010, 34(3), 166–171.
  • [14] Maddern G.J., Dennison A.R., Blumgart L.H., Fatal ascaris pancreatitis: an uncommon problem in the west, Gut, 1992, 33, 402–403[Crossref]
  • [15] Nikolić A., Djurković-Djaković O., Bobić B., Intestinal parasitic infections in Serbia, Srp. Arh. Celok. Lek., 1998, 126(1–2), 1–5
  • [16] Basavaraju S.V., Hotez P.J., Acute GI and Surgical Complications of Ascaris lumbricoides Infection, Infect. Med., 2003, 20(3), 154–159
  • [17] De Silva N.R., Guyatt H.L., Bundy D.A.P., Worm burden in intestinal obstruction caused by Ascaris lumbricoides, Tropical Medicine & International Health 1997, 2(2), 189–190[Crossref]
  • [18] Mukhopadhyay B., Saha S., Maiti S., Mitra D., Banerjee T.J., Jha M., et al., Clinical appraisal of Ascaris lumbricoides with special reference to surgical complications, Pediatr. Surg. Int., 2001, 17(5–6), 403–5[Crossref]
  • [19] Mir I.A., Wani N.A., Ahangar A.G., Rekha P., Saleem K., Sonographic appearance in intestinal ascariasis, JK-Practitioner, 2002, 9(4), 234–235
  • [20] Yetim I., Ozkan O.V., Semerci E., Abanoz R., Rare cause of intestinal obstruction, Ascaris lumbricoides infestation:two case reports, Cases Journal, 2009, 2, 7970[Crossref]
  • [21] Sangkhathat S., Patrapinyokul S., Wudhisuthimethawee P., Chedphaopan J., Mitamun W., Massive gastrointestinal bleeding in infants with ascariasis, J. Pediatr. Surg., 2003, 38(7), 1696–8[Crossref]
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.