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Case Report
Intestinal intussusception and obstruction due to entrapped Ascaris
1 Department of Radiology, CHRSL, Gaston Berger University, Saint-Louis, Senegal
2 Department of Surgery, CHRSL, Gaston Berger University, Saint-Louis, Senegal
3 Department of Radiology, CHRSL, Saint-Louis, Senegal
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Fallou Galass Niang
Department of Radiology, Saint-Louis Hospital, Saint-Louis,
Senegal
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Article ID: 101199Z01FN2021
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Niang FG, Ndong A, Attia A, Draidry I, DIOP AN. Intestinal intussusception and obstruction due to entrapped Ascaris. Int J Case Rep Images 2021;12:101199Z01FN2021.ABSTRACT
Introduction: Intussusception is idiopathic in over 90% of cases. The main causes exceptionally found are Merkel′s diverticulum, polyps, and lymphomas. We report a case of ileo-ileal intussusception due to entrapped Ascaris.
Case Report: A 3-year-old child referred to the emergency department for vomiting, diffuse abdominal pain, and cessation of passage of flatus and feces evolving for 24 hours. Ultrasound showed in the right peri-umbilical region a sandwich like bowel mass compatible with an intestinal intussusception. There were multiple “bull′s eye” and “railway track” images suggestive of intestinal ascariasis in the mass and beside it. Surgical intervention by laparotomy found an ileo-ileal intussusception with impacted Ascaris. An enterotomy was performed and worms were removed. Medical treatment with albendazole was administrated after restart of intestinal transit.
Conclusion: Through this case we illustrate a rare cause of intestinal intussusception and the interest of ultrasound in diagnosis by a correlation with surgery.
Keywords: Ascaris, Intussusception, Roundworm, Sonography
SUPPORTING INFORMATION
Author Contributions
Fallou Galass Niang - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Abdourahmane Ndong - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Afef Attia - Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Imane Draidry - Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Abdoulaye Ndoye DIOP - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Fallou Galass Niang et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
