An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

  • David Muchuweti College of Health Sciences, University of Zimbabwe
  • Hopewell Mungani, hp Division of Surgery, Harare Central Hospital
  • Hopewell Mungani, hp Division of Surgery, Harare Central Hospital
  • Farai Mahomva, FM Post graduate student, college of Health Sciences, University of Zimbabwe
  • Edwin Gamba Muguti, EGM College of Health Sciences, University of Zimbabwe
  • Edwin Gamba Muguti, EGM College of Health Sciences, University of Zimbabwe
Keywords: Ascarias Lumbricoides, Ascariasis, Infestation, Volvulus, Obstruction, Gangrenous, Case report

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 who at laparotomy was found to have perforated gangrenous small bowel volvulus with heavy worm load visible through the bowel wall. Because of faecal peritoneal contamination and haemodynamic instability she underwent a two staged procedure with good outcome.

Author Biographies

Hopewell Mungani, hp, Division of Surgery, Harare Central Hospital

Head, Division of Surgery

Hopewell Mungani, hp, Division of Surgery, Harare Central Hospital

Head, Division of Surgery

Farai Mahomva, FM, Post graduate student, college of Health Sciences, University of Zimbabwe

Postgraduate general surgery student

Edwin Gamba Muguti, EGM, College of Health Sciences, University of Zimbabwe

Lecturer

Edwin Gamba Muguti, EGM, College of Health Sciences, University of Zimbabwe

Lecturer

Published
2019-04-02
How to Cite
Muchuweti, D., Mungani, H., Mungani, H., Mahomva, F., Muguti, E., & Muguti, E. (2019). An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities. Journal of Case Reports in Medicine, 8(2). https://doi.org/10.25149/jcrm.v8i2.175
Section
Articles