title: Primary ascaridial perforations of small intestine and Meckel's diverticulum.
abstract: The clinical presentation of six cases with primary ascaridial perforations of the terminal ileum (4 cases) and Meckel's diverticulum (2 cases), without any associated underlying intestinal disease, is described. All the cases presented clinically as peritonitis and had worm masses in the intestinal lumen with maximal impaction in the terminal ileum. Ileal perforations were surgically closed in two layers after removal of the worms. Diverticulectomy after removal of the worms was performed for Meckelian diverticular perforations. Peritoneal toilet was done in all the cases. Pressure necrosis from the impacted worm masses probably resulted in these perforations.
authors: Department of Surgery, Medical College, Srinagar.
authors: V K
authors: VK
authors: Hangloo
authors: I
authors: I
authors: Koul
authors: R
authors: R
authors: Safaya
authors: S
authors: S
authors: Koul
authors: U
authors: U
authors: Dhar
authors: S
authors: S
authors: Kumar
authors: R K
authors: RK
authors: Chrungoo
mesh_terms: D001196:Ascariasis / Q000601:surgery*; D002648:Child; D006801:Humans; D007077:Ileal Diseases / Q000469:parasitology* / Q000601:surgery; D007416:Intestinal Perforation / Q000469:parasitology* / Q000601:surgery; D008467:Meckel Diverticulum / Q000469:parasitology* / Q000601:surgery; D010533:Peritoneal Lavage