Published in:
01-06-2013 | The Last Image
Ascariasis mimicking a postoperative complication in colic resection for diverticular disease in Italy
Published in: Techniques in Coloproctology | Issue 3/2013
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A 56-year-old Peruvian man underwent colon resection for recurrent diverticular disease in our department without postoperative complications. A week after surgery, the patient was readmitted because of symptoms and signs of bowel obstruction. A computed tomography (CT) scan, with oral and transanal contrast, revealed a tubular intraluminal defect consistent with Ascaris lumbricoides bowel infestation (Figs. 1, 2). Therapy with albendazole was started. A concomitant anastomotic stenosis (Figs. 3, 4) was treated endoscopically.
Fig. 1
CT scan showing the round worm (yellow arrow) as a defect image highlighted after Gastrografin® administration
Fig. 2
The worm highlighted after maximum intensity projection post-processing (yellow arrows)
Fig. 3
An anastomotic stenosis was detected during follow-up endoscopy
Fig. 4
Endoscopic view after the stenotic tract. Afferent loop with cul-de-sac
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