title: Chronic intussusception in children caused by Ascaris lumbricoides.
abstract: Chronic intussusception (CI) is defined as an intussusception lasting for 14 days or more. Because the clinical manifestations are non-specific, the diagnosis is usually delayed. Symptoms include intermittent abdominal pain, sometimes an abdominal mass is palpable and there is a marked weight loss. Diagnosis is based on typical features revealed by ultrasound or barium enema and CT investigations. Therapy is surgical with obligatory exclusion of possible underlying lesions. We report a case of a 3.5-year-old girl with chronic intussusception. Laboratory blood findings revealed sideropenic anemia and stools positive for Ascaris lumbricoides. Anti-parasitic therapy with mebendazole was repeatedly administered with early improvements but soon after symptoms relapsed. During surgery an ileocolic chronic intussusception extending to hepatic flexure was found. Postoperative control examinations proved complete healing. We suspected that Ascaris lumbricoides infestation was an etiologic factor for the development of chronic intussusception in the child.
authors.affiliation: Department of Pediatric Surgery, University Children's Hospital, Rijeka, Croatia.
authors.forename: Harry
authors.initials: H
authors.lastname: Nikolić
authors.forename: Goran
authors.initials: G
authors.lastname: Palčevski
authors.forename: Giordano
authors.initials: G
authors.lastname: Saina
authors.forename: Mladen
authors.initials: M
authors.lastname: Peršić
mesh_terms: D000818:Animals; D001196:Ascariasis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017164:Ascaris lumbricoides; D002675:Child, Preschool; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography