ACUTE INTESTINAL OBSTRUCTION IN CHILDREN DUE TO ROUND WORMs.
DOI:
https://doi.org/10.52206/jsmc.2012.2.2.153-158Abstract
Objective: To know about the various presentations and management of acute intestinal obstruction due to
worms in children.
Design:An observational study
Place and duration of study: This study was conducted at the saidu teaching hospital Swat, from Jan 2010
to December 2010.
Material and method: Total 118 children were included in the study. The necessary work up was carried
out. 68 children (patients) were treated conservatively. 50 Patients were operated upon as there was no
improvement with conservative treatment.
Result: 118 children were studied, 70 male 48 female (ratio of 1.4:1). Abdominal pain was the leading
symptom in all patients. 108 patients (91%) presented with abdominal distention. Vomiting present in 88
patients (74%). History of worms pass per rectally or in vomits in 99 patients (84%). 73 patients (62%)
presented with absolute constipation. 54 patients (45%) attend the OPD with pain in right iliac fossa. 03(2%)
patients presented with jaundice. Low hemoglobin level was observed in 89(75%) patients, deranged LFTs
in 03(2%), air fluid levels in 91 (77%) patients on abdominal X-Rays, abdominal ultrasound finding were
suggestive of acute intestinal obstruction in 77(65%) patients. All patients were treated conservatively, by
keeping nil per oral, nasogastric decompression, IV antibiotics, fluids, kleen enema per rectum. 68 patient
(57%) improved with conservative treatment. While surgical intervention was carried out in 50 patients
(43%). Mean hospital stay for conservatively treated patients were four days, while for surgically treated
patients it ranged from 7-12 days. Morbidity were noticed in 7 operated patients (8.26%), 4 patients with
paralytic ileus and 3 patients with wound infection. Three patients died among the surgically treated
patients, mortality is 2.5% in our study.
Conclusion: Acute intestinal obstruction due to round worms, can be treated conservatively but if no
response, then surgical intervention must be planned.
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