Jejunal perforation caused by abdominal angiostrongyliasis
| Autor: | Sansom Henrique Bromberg, Rodrigo Monteiro, Carlos Eduardo Rodante Corsi, Vilma Therezinha Trench Vieira, Marisa Valente Rebelo, Jaques Waisberg, Paulo Amaral dos Santos |
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| Rok vydání: | 1999 |
| Předmět: |
Male
Abdominal pain medicine.medical_specialty Cecum Quadrant (abdomen) Ascending colon Medicine Animals Humans Strongylida Infections biology business.industry Angiostrongylus cantonensis General Medicine Jejunal Diseases Middle Aged biology.organism_classification Appendix Surgery Infectious Diseases medicine.anatomical_structure Intestinal Perforation medicine.symptom business Angiostrongylus Angiostrongylus costaricensis |
| Zdroj: | Revista do Instituto de Medicina Tropical de Sao Paulo. 41(5) |
| ISSN: | 0036-4665 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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