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Adult Small Gut Intussusception Caused by Ascaris as a Lead Point.

Thakur S, Jhobta A, Thakur CS - Am. J. Trop. Med. Hyg. (2015)

View Article: PubMed Central - PubMed

Affiliation: Indira Gandhi Medical College and Hospital, Radiodiagnosis, Shimla, Himachal Pradesh, India tshruti878@yahoo.in.

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However, contrast-enhanced computed tomography (CECT) was done to ascertain any pathology missed on sonography... CECT showed small gut intussusception with worms as lead point (Figure 1 )... So it was a rare and interesting case of transient entero-enteric intussusception with worms as lead point... The patient's stool examination was positive for ova of Ascaris lumbricoides... There was no acute symptom so she was managed conservatively with oral albendazole... A. lumbricoides is a common cause of bowel obstruction in children in tropics and subtropics (Supplemental Video)... But A. lumbricoides as a cause of intussusception in adults is very unusual and described as a handful of case reports... The abdominal complications can be broadly categorized into intestinal and extraintestinal... The gastrointestinal complications include mechanical bowel obstruction, volvulus, intussusception, appendicitis, peritonitis, or even perforation... The extraintestinal abdominal complications are biliary colic, cholelithiasis, cholecystitis, liver abscess, and pancreatitis... Supplemental Video.

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(A, B) Sonographic images show linear parallel echogenic structures that look like “railway tract” on longitudinal imaging and “bull's eye” on transverse imaging (small white arrows). There is no posterior acoustic shadowing. These tubular structures showed active movement on real time sonography, thereby confirming worm infestation. The central anechoic linear area represents the digestive tract of the worm (long white arrow).
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Figure 2: (A, B) Sonographic images show linear parallel echogenic structures that look like “railway tract” on longitudinal imaging and “bull's eye” on transverse imaging (small white arrows). There is no posterior acoustic shadowing. These tubular structures showed active movement on real time sonography, thereby confirming worm infestation. The central anechoic linear area represents the digestive tract of the worm (long white arrow).

Mentions: (A, B) CECT images show a part of small gut loop along with its mesentery invaginating into the lumen of contiguous gut loop giving “bowel-within-bowel” configuration suggestive of entero-enteric intussusception (long black arrow). No mass lesion is seen at the lead point of intussusception. There is no sign of bowel obstruction. A few tubular hypodense structures within the orally opacified gut are seen at the site of intussusception that look like worms (small black arrows).


Adult Small Gut Intussusception Caused by Ascaris as a Lead Point.

Thakur S, Jhobta A, Thakur CS - Am. J. Trop. Med. Hyg. (2015)

(A, B) Sonographic images show linear parallel echogenic structures that look like “railway tract” on longitudinal imaging and “bull's eye” on transverse imaging (small white arrows). There is no posterior acoustic shadowing. These tubular structures showed active movement on real time sonography, thereby confirming worm infestation. The central anechoic linear area represents the digestive tract of the worm (long white arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4530733&req=5

Figure 2: (A, B) Sonographic images show linear parallel echogenic structures that look like “railway tract” on longitudinal imaging and “bull's eye” on transverse imaging (small white arrows). There is no posterior acoustic shadowing. These tubular structures showed active movement on real time sonography, thereby confirming worm infestation. The central anechoic linear area represents the digestive tract of the worm (long white arrow).
Mentions: (A, B) CECT images show a part of small gut loop along with its mesentery invaginating into the lumen of contiguous gut loop giving “bowel-within-bowel” configuration suggestive of entero-enteric intussusception (long black arrow). No mass lesion is seen at the lead point of intussusception. There is no sign of bowel obstruction. A few tubular hypodense structures within the orally opacified gut are seen at the site of intussusception that look like worms (small black arrows).

View Article: PubMed Central - PubMed

Affiliation: Indira Gandhi Medical College and Hospital, Radiodiagnosis, Shimla, Himachal Pradesh, India tshruti878@yahoo.in.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

However, contrast-enhanced computed tomography (CECT) was done to ascertain any pathology missed on sonography... CECT showed small gut intussusception with worms as lead point (Figure 1 )... So it was a rare and interesting case of transient entero-enteric intussusception with worms as lead point... The patient's stool examination was positive for ova of Ascaris lumbricoides... There was no acute symptom so she was managed conservatively with oral albendazole... A. lumbricoides is a common cause of bowel obstruction in children in tropics and subtropics (Supplemental Video)... But A. lumbricoides as a cause of intussusception in adults is very unusual and described as a handful of case reports... The abdominal complications can be broadly categorized into intestinal and extraintestinal... The gastrointestinal complications include mechanical bowel obstruction, volvulus, intussusception, appendicitis, peritonitis, or even perforation... The extraintestinal abdominal complications are biliary colic, cholelithiasis, cholecystitis, liver abscess, and pancreatitis... Supplemental Video.

Show MeSH
Related in: MedlinePlus