Massive gastrointestinal bleeding in infants with ascariasis.

Abstract:

:Although infestation with Ascaris lumbricoides causes various intestinal complications, massive gastrointestinal bleeding is rare. The authors report on 2 infants who presented with massive hematemesis. In the first patient, a gastroduodenoscopy was performed. Roundworms were found adhering to an oozing duodenal ulcer. Duodenal perforation occurred after extraction of the parasites. The second case was hematemesis together with peritonitis. Exploration found volvulus and a gangrenous segment of the distal ileum. Both infants previously passed roundworms with their stool. The authors conclude that the intestinal ascariasis can be a cause of massive gastrointestinal bleeding, especially in temperate and tropical countries.

journal_name

J Pediatr Surg

authors

Sangkhathat S,Patrapinyokul S,Wudhisuthimethawee P,Chedphaopan J,Mitamun W

doi

10.1016/s0022-3468(03)00584-0

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

1696-8

issue

11

eissn

0022-3468

issn

1531-5037

pii

S0022346803005840

journal_volume

38

pub_type

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