Wandering ascaris coming out through the abdominal wall.
A rare case of ascaris coming out through the anterior abdominal wall is reported here. A 40-year-old female had undergone dilatation and curettage by a quack. On the second day she presented with presented with features of peritonitis. She was explored. Resection anastomosis of the ileum was done for multiple perforations of the ileum. Patient developed a fistula in the anterior abdominal wall which was draining bile-colored fluid. On the 12(th) postoperative day a 10-cm-long worm was seen coming out through the fistulous tract which was found to be Ascaris lumbricoids. Ascaris lumbricoids can lead to many complications ranging from worm colic to intestinal obstruction, volvulus, peritonitis, pancreatitis, cholangiohepatitis, liver abscess and many more. Worm has been reported to come out through mouth, nostrils, abdominal drains, T-tubes etc. But ascaris coming out through the anterior abdominal wall is very rare hence reported here.
Department of General Surgery/CVTS and Allied Specialties, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, J and K, India.
Mohd L
ML
Wani
Ajaz A
AA
Rather
Fazl Q
FQ
Parray
Abdul G
AG
Ahangar
Akram H
AH
Bijli
Ifat
I
Irshad
Nayeem-Ul-Hassan
Tahir S
TS
Khan
Ascaris; bile; perforation