Extraction of Ascaris lumbricoides from jejunum.
4-year-old Caucasian male was admitted to the emergency department with abdominal pain and biliary vomiting for three days. Physical examination revealed abdominal tenderness and rigidity. X-ray showed air-fluid levels indicative of intestinal obstruction. USG demonstrated masses in the intestinal lumen. Parallel paired lines like ‘railway track’ and ‘bull’seye’sign were seen on USG. At laparotomy, he had necrosis of ileal part of approximately 20 cm. The necrosis parts were resected and evacuated the two Ascaris masses. Primary end-to-end anastomosis was performed. Patient was discharged 7th day postoperatively without complication.Ascaris lumbricoides (AL) is the most common helminth affecting humans and causing important medical and social problems especially in the under-developing countries. AL infestation occurs in all age groups but more common in children of preschool age. Obstruction of intestinal tract by a mass of AL is one of the serious and lethal complications. Early diagnosis of obstruction by ultrasonography is likely possible.