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BY-NC-ND 3.0 license Open Access Published by De Gruyter Open Access June 1, 2011

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

  • Miroslava Stojanovic EMAIL logo , Andjelka Slavkovic , Miroslav Stojanovic , Zoran Marjanovic and Milan Bojanovic
From the journal Open Medicine


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.

[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, 10.5580/1b11Search in Google Scholar

[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 in Google Scholar PubMed

[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 in Google Scholar PubMed

[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 in Google Scholar

[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 Search in Google Scholar

[6] Refeidi A., Live Ascaris lumbricoides in the peritoneal cavity, Ann. Saudi. Med., 2007, 27(2), 118–121 in Google Scholar

[7] Wani I., Rather M., Naikoo G., Amin A., Mushtaq S., Nazir M., Intestinal Ascariasis in Children, World J. Surg., 2010, 34, 963–968 in Google Scholar PubMed

[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 Search in Google Scholar

[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 in Google Scholar PubMed

[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 in Google Scholar PubMed

[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 in Google Scholar

[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 in Google Scholar

[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. Search in Google Scholar

[14] Maddern G.J., Dennison A.R., Blumgart L.H., Fatal ascaris pancreatitis: an uncommon problem in the west, Gut, 1992, 33, 402–403 in Google Scholar

[15] Nikolić A., Djurković-Djaković O., Bobić B., Intestinal parasitic infections in Serbia, Srp. Arh. Celok. Lek., 1998, 126(1–2), 1–5 Search in Google Scholar

[16] Basavaraju S.V., Hotez P.J., Acute GI and Surgical Complications of Ascaris lumbricoides Infection, Infect. Med., 2003, 20(3), 154–159 Search in Google Scholar

[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 in Google Scholar

[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 in Google Scholar

[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 Search in Google Scholar

[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 in Google Scholar

[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 in Google Scholar

Published Online: 2011-6-1
Published in Print: 2011-8-1

© 2011 Versita Warsaw

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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