Ascariasis

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Generalized abdominal pain and vomiting. Normal stool passage.

Patient Data

Age: 8 years
Gender: Female
ultrasound

Numerous tubular structures with echogenic walls are seen inside the prominent bowel loops representing ascaris worms.

Case Discussion

Ascariasis is an intestinal infection caused by the roundworm A lumbricoides. It can result in mechanical bowel obstruction caused by a large number of worms. Ultrasonography can depict the adult worm as a hypoechoic tubular structure with well-defined echogenic walls.

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