scholarly journals Enterobius vermicularis infestation causing terminal ileal gangrene

2021 ◽  
Vol 8 (8) ◽  
pp. 2477
Author(s):  
Mohamed Rizwan ◽  
Mithun Raju ◽  
Rupesh George

Enterobius vermicularis is one of the most common nematode infestations seen worldwide. This condition is commonly seen in children. Although asymptomatic, they present with symptoms of perianal itching commonly at night with perianal excoriations. In this case report we present a case 79 years old man with multiple co-morbidities who presented with non-bilious vomiting and severe abdominal pain. Emergency laparotomy was performed during which terminal ileal gangrene was noted. Ileo-caecal wall revealed multiple parasites (enterobius).  

2007 ◽  
Vol 1 (1) ◽  
Author(s):  
Luigi Sandonato ◽  
Calogero Cipolla ◽  
Giuseppa Graceffa ◽  
Tommaso V. Bartolotta ◽  
Sergio Li Petri ◽  
...  

2013 ◽  
Vol 6 (1) ◽  
Author(s):  
Masanori Shimodaira ◽  
Tomohiro Kitano ◽  
Minoru Kibata ◽  
Kumiko Shirahata

2014 ◽  
Vol 7 (1) ◽  
pp. 64-66
Author(s):  
Sekar Hariharasudhan ◽  
Sriram Krishnamoorthy ◽  
Sunil Shroff

Spontaneous rupture of urinary bladder is a rare condition. Most of the bladder ruptures occur in association with blunt or penetrating injuries to the lower abdomen. Most often, a vague lower abdominal pain is the mode of presentation. Rarely patients present with oliguria, anuria, uremia or urosepsis. A forty year old male, under the influence of alcohol, presented with lower abdominal pain and anuria for two days with abnormal renal function. He denied history of blunt trauma. He was diagnosed to have an intra-peritoneal rupture of urinary bladder. He underwent emergency laparotomy with repair of bladder rupture. This case report illustrates the need for a high index of clinical suspicion. Prompt diagnosis and appropriate management will help in preventing a poor clinical outcome in patients with spontaneous bladder perforation. If left untreated or if there is a considerable delay in diagnosis and intervention, it usually is associated with a high morbidity.


2015 ◽  
Vol 8 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Hassan Vossoughinia ◽  
Ali Pourakbar ◽  
Samaneh Esfandiari ◽  
Masoud Sharifianrazavi

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Aneley Getahun S. ◽  
Josese Limaono ◽  
Raween Ligaitukana ◽  
Orisi Cabenatabua ◽  
Vika Soqo ◽  
...  

Abstract Background Typhoid fever is a human-specific disease caused by a bacterium, Salmonella enterica subspecies enterica serovar Typhi. It is transmitted through ingestion of contaminated food or water. It is mostly diagnosed by blood culture. Salmonella Typhi usually manifests as a febrile illness with bacteremia after initial entry through the gastrointestinal route, but it can occasionally cause significant disease in extraintestinal sites. We report a case of a girl in Fiji with a right ovarian abscess infected by Salmonella Typhi. Case presentation A 14-year-old iTaukei (indigenous Fijian) girl presented to our hospital with abdominal pain of 1 month’s duration. Two days prior to her admission, she developed high-grade fever and nausea and had one episode of vomiting. On presentation, she appeared unwell; she was tachycardic (116 beats per minute) and febrile (38.8 °C). Her abdominal examination revealed generalized tenderness. Other examination findings were normal. The provisional diagnosis of abdominal sepsis led to an emergency laparotomy during which an enlarged right ovary was found to be spontaneously discharging pus. The ovary was incised and drained, and the patient was commenced on intravenous ceftriaxone 1 g twice daily, cloxacillin 1 g four times daily, and metronidazole 500 mg three times daily. She recovered promptly and was discharged to home on the sixth postoperative day. The purulent material from the ovary grew Salmonella Typhi. Conclusion Extraintestinal infections caused by Salmonella Typhi are rare but can cause severe and life-threatening disease. Our patient had a prolonged history of abdominal pain and was found to have a ruptured right ovarian abscess due to Salmonella Typhi. Ovarian abscesses in girls who are not sexually active are not associated with pelvic inflammatory disease and suggest local or hematogenous spread. This case report may increase health workers awareness to include common and endemic infections in the differential diagnosis of unusual clinical presentations to help the initiation of appropriate investigation and management as quickly as possible.


Author(s):  
Anood Alassaf ◽  
Rana Al Shami ◽  
Jehan Al Rayahi ◽  
William Mifsud ◽  
Khalid Al Kharazi ◽  
...  

Three years old boy presented with recurrent severe abdominal pain. He was treated for constipation and the pain resolved. Later he developed a limitation of neck movements. Investigations revealed a spinal cord mass. After surgical resection, histopathology confirmed pilocytic astrocytoma.


PEDIATRICS ◽  
1990 ◽  
Vol 85 (2) ◽  
pp. 215-217
Author(s):  
TSUNEZO SHIOTA ◽  
YUKIO YOSHIDA ◽  
SACHIYO HIRAI ◽  
SHOZO TORII

Intestinal myiasis occurs when fly eggs or larvae that were previously deposited in food are ingested and survive in the gastrointestinal tract. Some infested patients are asymptomatic; others have abdominal pain, vomiting, and diarrhea. Although babies and small children seem more susceptible to intestinal myiasis than adults, probably the age distribution can be explained by childhood activity, fearlessness of wormlike creatures, and experimentation.1,2 The signs and symptoms of intestinal myiasis can easily be confused with other intestinal disturbances. In this article, we describe the clinical course of intestinal myiasis in a 4-year-old boy with severe abdominal pain. CASE REPORT The patient was a 4-year-old previously healthy boy residing in Osaka City, Japan.


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