Strongyloidiasis presenting as duodenal obstruction.
Small bowel obstruction due to Strongyloides stercoralis is rare especially in immunocompetent individuals. We report a case of a 45-year-old man who presented with a history of severe abdominal pain, intermittent low-grade fever and vomiting. An upper GI endoscopy revealed a diffusely edematous second portion of duodenum and narrowing in the third part of duodenum with food residue in the stomach. Barium contrast upper-GI radiography revealed partial small-bowel obstruction. Duodenal biopsy specimens revealed Strongyloides stercoralis in the submucosa with inflammatory infiltrate. The patient was treated with ivermectin and had complete resolution of symptoms.
Harish
K
K
Medical College Hospital, Calicut, Kerala. dr_harishk@yahoo.co.in
Sunilkumar
R
R
Varghese
Thomas
T
Feroze
M
M
D000969:Antinematodal Agents / Q000627:therapeutic use; D004380:Duodenal Obstruction / Q000469:parasitology*; D004384:Duodenoscopy; D006801:Humans; D007559:Ivermectin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010784:Photomicrography; D013322:Strongyloidiasis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy
D000969:Antinematodal Agents; D007559:Ivermectin