Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2012  |  Volume : 17  |  Issue : 3  |  Page : 116--119

Surgical complications of Ascaris lumbricoides in children


Raghu S Ramareddy, Anand Alladi, OS Siddapa, V Deepti, Tanveer Akthar, B Mamata 
 Department of Paediatric Surgery, Vani Vilas Hospital, Bangalore Medical College and Research Institute, Bangalore, India

Correspondence Address:
Anand Alladi
Department of Paediatric Surgery, Vani Vilas Hospital, Bangalore Medical College and Research Institute, Bangalore
India

Aim : To report the surgical complications of Ascaris lumbricoides infestation in children. Materials and Methods : This is a retrospective study and cases of intestinal ascariasis managed conservatively were excluded. Results : Sixteen children presented with Ascariasis sequelae, which included ileal volvulus (n=5), perforations (n=4), intussusception (n=1), biliary ascariasis (n-1) and impacted multiple worm boluses (n=5). Plain abdominal radiographs showed pneumoperitoneum (3), cigar bundle appearance (3) and multiple air and fluid levels (13). Sonography showed floating worms with free fluid (2), sluggish peristalsis and moderate free fluid (7) and intestinal worm bolus (11). The surgical procedures included milking of worms (in all), bowel resection (6), closure of perforation (3) and manual reduction of intussusception (1). Biliary ascariasis was managed conservatively and the progress monitored with sonography. There were 3 deaths all of whom had intestinal volvulus, bowel necrosis and toxemia. Conclusion : Sonography can be helpful in diagnosing the presence of worms, its complications and in evaluating response to treatment. Early surgical intervention in those with worm bolus, peritonism, and volvulus may salvage bowel and reduce mortality.


How to cite this article:
Ramareddy RS, Alladi A, Siddapa O S, Deepti V, Akthar T, Mamata B. Surgical complications of Ascaris lumbricoides in children.J Indian Assoc Pediatr Surg 2012;17:116-119


How to cite this URL:
Ramareddy RS, Alladi A, Siddapa O S, Deepti V, Akthar T, Mamata B. Surgical complications of Ascaris lumbricoides in children. J Indian Assoc Pediatr Surg [serial online] 2012 [cited 2019 Oct 20 ];17:116-119
Available from: http://www.jiaps.com/article.asp?issn=0971-9261;year=2012;volume=17;issue=3;spage=116;epage=119;aulast=Ramareddy;type=0