Document Detail


Strongyloides stercoralis: a rare cause of obstructive duodenal stenosis.
MedLine Citation:
PMID:  18446028     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Strongyloidiasis is a rare helminthic infection in Europe, and it may cause duodenal obstruction. METHODS: We report a patient who was admitted to our Medical Department with nausea and repeated vomiting since 10 years until food intake became impossible. Subsequent investigations revealed a duodenal obstruction at the upper third of the duodenum, as well as enterocolitis of the terminal ileum with eosinophils dispersed throughout the mucosa. Since food intake was still not possible after treatment with a course of i.v. PPI and prokinetic applications, we decided to perform a resection of the upper duodenum with Y-Roux reconstruction. RESULTS: The histopathological examination of the resected specimen revealed strongyloidiasis. CONCLUSION: Parasite infections such as strongyloidiasis represent a rare differential diagnosis of duodenal obstruction especially if patients originate from endemic regions.
Authors:
Markus S Juchems; Jan Hendrik Niess; Gerhard Leder; Thomas F Barth; Guido Adler; Hans-Juergen Brambs; Martin Wagner
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-29
Journal Detail:
Title:  Digestion     Volume:  77     ISSN:  1421-9867     ISO Abbreviation:  Digestion     Publication Date:  2008  
Date Detail:
Created Date:  2008-08-22     Completed Date:  2008-11-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0150472     Medline TA:  Digestion     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  141-4     Citation Subset:  IM    
Copyright Information:
Copyright 2008 S. Karger AG, Basel.
Affiliation:
Diagnostic and Interventional Radiology, University Hospitals Ulm, Ulm, Germany. markus.juchems@uni-ulm.de
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MeSH Terms
Descriptor/Qualifier:
Animals
Antiparasitic Agents / administration & dosage
Constriction, Pathologic
Dilatation, Pathologic
Duodenal Obstruction / parasitology*
Duodenum / parasitology,  pathology
Endoscopy, Gastrointestinal
Endosonography
Humans
Ivermectin / administration & dosage
Magnetic Resonance Imaging
Male
Middle Aged
Nausea / parasitology
Stomach / pathology
Strongyloides stercoralis*
Strongyloidiasis / complications*,  diagnosis,  drug therapy
Time Factors
Tomography, X-Ray Computed
Vomiting / parasitology
Chemical
Reg. No./Substance:
0/Antiparasitic Agents; 70288-86-7/Ivermectin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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