title: [Volvulus of the small bowel due to ascaris lumbricoides package: about a case].
abstract: We report an exceptional case of a 7 year-old patient with necrotic small bowel volvulus due to adult ascaris lumbricoides. At the admission, the child had intestinal obstruction evolving since two days with alteration of general state. Abdominal radiography without preparation showed small bowel air-fluid levels and tiger-stripe appearance evoking the diagnosis of acute intestinal obstruction associated with abdominal mass. After resuscitation, the surgical treatment consisted of laparotomy which showed necrotic volvulus of the terminal ileum containing adult ascaris lumbricoides. The patient underwent small bowel resection, approximately one meter of affected section was removed and then an ileostomy was performed. The evolution was favorable. The patient underwent ileorectal anastomosis four weeks later. After a 2 year follow-up period the child had no symptoms.
authors: Service de Chirurgie, Hôpital Régional de Ziguinchor, Université Assane Seck de Ziguinchor, Sénégal.
authors: Cheikh
authors: C
authors: Diouf
authors: Service de Chirurgie Viscérale, Centre Hospitalier National de Nouakchott, Université des Sciences de Technologie et de Médecine de Nouakchott, Mauritanie.
authors: Ahmed
authors: A
authors: Kane
authors: Service de Chirurgie Pédiatrique Hôpital d'Enfants Albert Royer, Dakar, Sénégal.
authors: Ndeye Aby
authors: NA
authors: Ndoye
authors: Service de Chirurgie Pédiatrique CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Oumar
authors: O
authors: Ndour
authors: Service de Chirurgie Pédiatrique CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Aimé Lakh
authors: AL
authors: Faye-Fall
authors: Service de Chirurgie Centre Hospitalier Abass Ndao Dakar, Sénégal.
authors: Mbaye
authors: M
authors: Fall
authors: Service de Chirurgie Pédiatrique CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Désiré Munyali
authors: DM
authors: Alumeti
authors: Service de Chirurgie Pédiatrique CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Gabriel
authors: G
authors: Ngom
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D000818:Animals; D001196:Ascariasis / Q000150:complications* / Q000175:diagnosis; D017164:Ascaris lumbricoides / Q000302:isolation & purification*; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D007081:Ileostomy / Q000379:methods; D007415:Intestinal Obstruction / Q000469:parasitology* / Q000473:pathology / Q000601:surgery; D045822:Intestinal Volvulus / Q000469:parasitology* / Q000473:pathology / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D008297:Male
keywords: Ascaris lumbricoides; child; intestinal obstruction; resection; volvulus