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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2002  |  Volume : 7  |  Issue : 3  |  Page : 134-138

Intestinal obstruction in children and history of roundworm expulsion cause or coincidence?

Department of Pediatrics Surgery, NRS Medical College, Kolkata

Correspondence Address:
S Saha
Department of Pediatrics Surgery, NRS Medical College, Kolkata

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Source of Support: None, Conflict of Interest: None

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ABSTRACT: Sixty cases of intestinal obstruction of the age group between 12 months and 12 years who were admitted in our hospital for treatment, were studied. the period of study was form May 2000 to July 2001. Thirty four cases had history of passage of roundworms, either through mouth or anus within a span of 2 weeks before presentation. A provisional diagnosis of roundworm inspection causing intestinal obstruction was made. With conservative treatment however, intestinal obstruction could not be relieved in 19 out of these 34 cases. Laparotomy was undertaken in these 19 patients. In only 3 cases out of 19, roundworm bolus was the direct of obstruction. We conclude from our study that intestinal obstruction in children clinically diagnosed to be due to roundworms, should not be treated conservatively for a prolonged period of time. Failure to improve within 24 hours of conservative treatment, should suggest immediate laparotomy. Often a pathology other than roundworm bolus may be found as the cause for obstruction. Moreover, presence of roundworms in the intestine could be a mere coincidence.

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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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