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South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361

S. Afr. j. surg. vol.50 n.1 Cape Town Feb. 2012

 

CLINICAL IMAGES

 

Overlooking the abdominal X-ray - the peril of ascariasis

 

 

N. MahomedI; Z. DocratII; L. MkhonzaII; L. KeatingII

IM.B. B.Ch., F.C.Rad. (Diag.) S.A.; Department of Radiology, Chris Hani Baragwanath Hospital and University of the Witwatersrand, Johannesburg
IIM.B. B.Ch.; Department of Radiology, Chris Hani Baragwanath Hospital and University of the Witwatersrand, Johannesburg

 

 


ABSTRACT

A young child presented with intermittent bowel obstruction. The abdominal X-ray was not closely examined, and a contrast study was performed that demonstrated multiple tubular filling defects indicative of worms. The patient was treated accordingly. Reviewing the abdominal X-ray demonstrated numerous serpigenous, tubular, soft-tissue densities in gas-filled bowel loops.


 

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REFERENCES

1. Ellman BA, Wynne JM, Freeman A. Intestinal ascariasis: New plain film features. AJR 1980;135:37-42.         [ Links ]

2. Khan EA, Khalid A, Hashmi I, Jan IA. Gastrointestinal obstruction due to ascariasis - management issues. Inf Dis J Pakistan 2008;17:72-74.         [ Links ]

3. Das CJ, Kumar J, Debnath J, Chaudhry J. Imaging of ascariasis. Austr Radiol 2007;51:500-506.         [ Links ]

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