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Chronic intussusception in children caused by Ascaris lumbricoides

Wiener Klinische Wochenschrift, ISSN: 1613-7671, Vol: 123, Issue: 9-10, Page: 294-296
2011
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Article Description

Chronic intussusception (CI) is defi ned as an intussusception lasting for 14 days or more. Because the clinical manifestations are non-specifi c, the diagnosis is usually delayed. Symptoms include intermittent abdominal pain, sometimes an abdominal mass is palpable and there is a marked weight loss. Diagnosis is based on typical features revealed by ultrasound or barium enema and CT investigations. Th erapy is surgical with obligatory exclusion of possible underlying lesions. We report a case of a 3.5-year-old girl with chronic intussusception. Laboratory blood fi ndings revealed sideropenic anemia and stools positive for Ascaris lumbricoides. Anti-parasitic therapy with mebendazole was repeatedly administered with early improvements but soon after symptoms relapsed. During surgery an ileocolic chronic intussusception extending to hepatic fl exure was found. Postoperative control examinations proved complete healing. We suspected that Ascaris lumbricoides infestation was an etiologic factor for the development of chronic intussusception in the child. © 2011 Springer-Verlag.

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