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Ned Tijdschr Geneeskd ; 156(8): A3223, 2012.
Article in Dutch | MEDLINE | ID: mdl-22357305

ABSTRACT

An 18-year-old man came to the Emergency Room at the Academic Hospital Paramaribo (Suriname) with a solitary supra-umbilical gunshot-wound. The patient was hypovolemic, with dropping blood pressure and rising pulse, surgery was indicated. After incision of the abdominal midline 1.5 l of blood drained, immediately followed by the appearance of 2 long thin worms. During inspection of the abdominal cavity a perforation of the duodenum and sigmoid and a mesenterial bleeding was seen and treated. Inspection of the small intestine showed presence of Ascaris lumbricoides (roundworm).


Subject(s)
Ascariasis/diagnosis , Ascaris lumbricoides/isolation & purification , Wounds, Gunshot/complications , Adolescent , Animals , Antinematodal Agents/therapeutic use , Ascariasis/drug therapy , Ascariasis/surgery , Humans , Male , Mebendazole/therapeutic use , Wounds, Gunshot/surgery
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