ILEAL PERFORATION CAUSED BY THE INNOCENT ASCARIS. A CASE REPORT AND REVIEW OF THE LITERATURE
Prof. Dr. Afzal Anees, *Dr. Devanshu Sharma, Dr. Yaqoob Hassan, Dr. Shashi Bhushan Sharma and Dr. Chittipantula Chitranjani
ABSTRACT
Background: Ascaris lumbricoides is common cause of acute abdomen and is attributed to poor hygiene and low socio- economic background. About a quarter of world population is infected by this nematode. Methods: We report a case of a 10 year old female with symptoms of perforation peritonitis. Patient was subjected to exploratory laparotomy. Results: The patient had multiple ileal perforations due to a single ascaris worm with faecal peritonitis. A peritoneal wash and loop ileostomy was done and abdomen was closed back in layers. The patient recovered well post operatively. Conclusion: Ascaris induced perforation peritonitis is a very rare clinical presentation. Early diagnosis and surgical management is the only treatment modality.
[Full Text Article] [Download Certificate]