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Case Report
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| Ascaris intestinal perforation after trivial trauma | ||||||
| Kuldip Singh Ahi1, Anand Munghate2, Mahak Chauhan3, Harnam Singh4, Ashwani Kumar5 | ||||||
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1Associate Professor, Department of General Surgery, Government Medical College, Patiala, Punjab, India.
2Junior Resident, Department of General Surgery, Government Medical College, Patiala, Punjab, India. 3Intern, Department of General Surgery, Government Medical College, Patiala, Punjab, India. 4Assistant Professor, Department of General Surgery, Government Medical College, Patiala, Punjab, India. 5Professor, Department of General Surgery, Government Medical College, Patiala, Punjab, India. | ||||||
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| How to cite this article |
| Ahi KS, Munghate A, Chauhan M, Singh H, Kumar A. Ascaris intestinal perforation after trivial trauma. International Journal of Case Reports and Images 2014;5(2):165–168. |
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Abstract
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Introduction:
Isolated gastrointestinal perforation after blunt abdominal trauma and perforation seen from parasitic infestation are infrequent case presentations. Ascaris lumbricoides (round worm) is a common parasitic infestation in underdeveloped as well as developing countries.
Case Report: Herein, we report a case of a 42-year-old male patient who was presented to the emergency department with history of trivial trauma and complain of abdominal pain, investigations lead to the diagnosis of peritonitis. The emergency laparotomy was done and unexpectedly, a live round worm was found to be the cause of a single jejunal perforation. It is suggested that the trivial trauma might have exacerbated the impending ascariasis perforation. Conclusion: Ascaris lumbricoides, an intestinal roundworm, is one of the most common helminthic human infestations worldwide. Infestation with this can result in a wide range of clinical presentations ranging from asymptomatic worm infestation to potentially fatal complications. Thus ascariasis should be investigated in patients with non-specific abdominal pain or intestinal perforation especially in tropical countries. It is saddening that in spite of worldwide improvement in public awareness of hygiene and good sanitation, there are still some parts of the world where prevalence of helminthiasis and their complications are rising. A jejunal perforation with single ascaris after trivial trauma is a rare entity. This unique case has highlighted the probability of blunt trauma intensifying an impending perforation by roundworm in this patient. | |
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Keywords:
Ascaris lumbricoides, Peritonitis, Trauma, Helminthiasis
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Author Contributions
Kuldip Singh Ahi – Conception and design, Acquisition of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Anand Munghate – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Mahak Chauhan – Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Harnam Singh – Conception and design, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Ashwani Kumar – Conception and design, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Kuldip Singh Ahi et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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About The Authors
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