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Duodenal obstruction - an unusual presentation of Strongyloides stercoralis enteritis: a case report

BACKGROUND: Intestinal obstruction is a poorly recognized and probably underreported complication of strongyloidiasis. We present herein an unusual case, of complete duodenal obstruction caused by S. stercoralis. METHODS: A systematic review of the literature examining the clinical course, diagnosti...

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Autores principales: Cruz, Ruy J, Vincenzi, Rodrigo, Ketzer, Bernardo M
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2925357/
https://www.ncbi.nlm.nih.gov/pubmed/20698992
http://dx.doi.org/10.1186/1749-7922-5-23
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author Cruz, Ruy J
Vincenzi, Rodrigo
Ketzer, Bernardo M
author_facet Cruz, Ruy J
Vincenzi, Rodrigo
Ketzer, Bernardo M
author_sort Cruz, Ruy J
collection PubMed
description BACKGROUND: Intestinal obstruction is a poorly recognized and probably underreported complication of strongyloidiasis. We present herein an unusual case, of complete duodenal obstruction caused by S. stercoralis. METHODS: A systematic review of the literature examining the clinical course, diagnostic methods, and outcome of this rare complication of strongyloidiasis was performed. RESULTS: A 42-year-old woman presented with a 5-month history of abdominal pain, vomit, and weight loss. An abdominal CT scan showed an obstruction of the third part of the duodenum. Segmental intestinal resection was carried out and histopathology examination revealed heavy Strongyloides stercoralis infestation. Duodenal obstruction is a rare complication of S. stercoralis infection, with only 8 cases described in the literature since 1970. Most of the patients are males, middle-aged, and the diagnosis was made by duodenal aspirate/biopsy, or analysis of surgical specimen. CONCLUSIONS: Duodenal obstruction is an unusual, but potential fatal, complication of S. stercoralis infection. The large spectrum of clinical manifestation and lack of classic clinical syndrome make the final diagnosis of strongyloidiasis extremely difficult. A high index of suspicion, mainly in patients from endemic areas, is needed for correct and early diagnosis of this uncommon presentation of Strogyloides stercoralis enteritis.
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spelling pubmed-29253572010-08-24 Duodenal obstruction - an unusual presentation of Strongyloides stercoralis enteritis: a case report Cruz, Ruy J Vincenzi, Rodrigo Ketzer, Bernardo M World J Emerg Surg Case Report BACKGROUND: Intestinal obstruction is a poorly recognized and probably underreported complication of strongyloidiasis. We present herein an unusual case, of complete duodenal obstruction caused by S. stercoralis. METHODS: A systematic review of the literature examining the clinical course, diagnostic methods, and outcome of this rare complication of strongyloidiasis was performed. RESULTS: A 42-year-old woman presented with a 5-month history of abdominal pain, vomit, and weight loss. An abdominal CT scan showed an obstruction of the third part of the duodenum. Segmental intestinal resection was carried out and histopathology examination revealed heavy Strongyloides stercoralis infestation. Duodenal obstruction is a rare complication of S. stercoralis infection, with only 8 cases described in the literature since 1970. Most of the patients are males, middle-aged, and the diagnosis was made by duodenal aspirate/biopsy, or analysis of surgical specimen. CONCLUSIONS: Duodenal obstruction is an unusual, but potential fatal, complication of S. stercoralis infection. The large spectrum of clinical manifestation and lack of classic clinical syndrome make the final diagnosis of strongyloidiasis extremely difficult. A high index of suspicion, mainly in patients from endemic areas, is needed for correct and early diagnosis of this uncommon presentation of Strogyloides stercoralis enteritis. BioMed Central 2010-08-10 /pmc/articles/PMC2925357/ /pubmed/20698992 http://dx.doi.org/10.1186/1749-7922-5-23 Text en Copyright ©2010 Cruz et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Cruz, Ruy J
Vincenzi, Rodrigo
Ketzer, Bernardo M
Duodenal obstruction - an unusual presentation of Strongyloides stercoralis enteritis: a case report
title Duodenal obstruction - an unusual presentation of Strongyloides stercoralis enteritis: a case report
title_full Duodenal obstruction - an unusual presentation of Strongyloides stercoralis enteritis: a case report
title_fullStr Duodenal obstruction - an unusual presentation of Strongyloides stercoralis enteritis: a case report
title_full_unstemmed Duodenal obstruction - an unusual presentation of Strongyloides stercoralis enteritis: a case report
title_short Duodenal obstruction - an unusual presentation of Strongyloides stercoralis enteritis: a case report
title_sort duodenal obstruction - an unusual presentation of strongyloides stercoralis enteritis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2925357/
https://www.ncbi.nlm.nih.gov/pubmed/20698992
http://dx.doi.org/10.1186/1749-7922-5-23
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