Journal Basic Info
- Impact Factor: 1.809**
- H-Index: 6
- ISSN: 2474-1655
- DOI: 10.25107/2474-1655
Major Scope
- Cardiology
- Geriatric Medicine
- Anatomy
- Gastric Cancer
- Genetics
- Inflammation
- Forensic and Legal Medicine
- Pharmacology and Therapeutics
Abstract
Citation: Ann Clin Case Rep. 2019;4(1):1635.DOI: 10.25107/2474-1655.1635
An Uncommon Cause of Acute Abdomen in Underprivileged Communities
Mahomva Farai, Muchuweti D, Mungani H and Muguti EG
Department of Surgery, University of Zimbabwe, Zimbabwe
Department of Surgery, Harare Central Hospital, Zimbabwe
*Correspondance to: Muchuweti D
PDF Full Text Case Report | Open Access
Abstract:
Oftentimes general surgeons working in poorly resourced communities carry out emergency abdominal surgery in patients with acute abdomen with no definitive preoperative diagnosis. The definitive diagnosis is made at laparotomy. Perforated small bowel obstruction secondary to heavy Infestation with Ascaris lumbricoides brings a number of intraoperative challenges requiring correct intraoperative surgical management decisions. We present a case of a 17 year-old patient who was admitted with a diagnosis of small bowel obstruction that at laparotomy was found to have perforated gangrenous small bowel volvulus with heavy worm load visible through the bowel wall. Because of fecal peritoneal contamination and hemodynamic instability she underwent a two staged procedure with good outcome.
Keywords:
Ascarias lumbricoides; Ascariasis; Infestation; Volvulus; Obstruction; Gangrenous
Cite the Article:
Farai M, Muchuweti D, Mungani H, Muguti EG. An Uncommon Cause of Acute Abdomen in Underprivileged Communities. Ann Clin Case Rep. 2019; 4: 1635.