Jejunal perforation caused by abdominal angiostrongyliasis
Rev. Inst. Med. Trop. Säo Paulo
;
41(5): 325-8, Sept.-Oct. 1999. ilus
Article
in English
| LILACS
| ID: lil-250207
RESUMO
The authors describe a case of abdominal angiostrongyliasis in an adult patient presenting acute abdominal pain caused by jejunal perforation. The case was unusual, as this affliction habitually involves the terminal ileum, appendix, cecum or ascending colon. The disease is caused by the nematode Angiostrongylus costaricensis, whose definitive hosts are forest rodents while snails and slugs are its intermediate hosts. Infection in humans is accidental and occurs via the ingestion of snail or slug mucoid secretions found on vegetables, or by direct contact with the mucus. Abdominal angiostrongyliasis is clinically characterized by prolonged fever, anorexia, abdominal pain in the right-lower quadrant, and peripheral blood eosinophilia. Although usually of a benign nature, its course may evolve to more complicated forms such as intestinal obstruction or perforation likely to require a surgical approach. Currently, no efficient medication for the treatment of abdominal angiostrongyliasis is known to be available. In this study, the authors provide a review on the subject, considering its etiopathogeny, clinical picture, diagnosis and treatment
Full text:
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Index:
LILACS (Americas)
Main subject:
Strongylida Infections
/
Angiostrongylus cantonensis
/
Intestinal Perforation
/
Jejunal Diseases
Limits:
Humans
/
Male
Language:
English
Journal:
Rev. Inst. Med. Trop. Säo Paulo
Journal subject:
Tropical Medicine
Year:
1999
Type:
Article
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