Obstrucción intestinal por áscaris lumbricoides en pacientes pediátricos, revisión de dos casos clínicos

Abstract

Introduction: Infections by parasites represent a global health problem, being the most common parasitosis caused by Ascaris Lumbricoides with a special focus on people who live in places with poor sanitary conditions or people who live in overcrowding as evidenced in rural areas of our country and its massive invasion can cause very serious consequences such as intestinal obstruction and lead to serious consequences especially in pediatric patients due to the small size of their organs and the dimensions that these parasites reach in their adult form. Objective: To describe the risk factors, clinical symptoms and results of paraclinical studies of two clinical cases that presented intestinal obstruction due to Ascaris Lumbricoides infection in pediatric patients. Materials and methods: For the preparation of this work, information was collected and an analysis of the clinical cases was carried out, both of the data obtained and the actions taken by the medical personnel in relation to the adequate and updated information found in the database. of data. Results: Information was obtained from two clinical cases of pediatric patients during the year 2021 who presented with intestinal obstruction secondary to massive invasion by ascaris lumbricoides with similar symptoms with criteria of acute abdomen, for which exploratory laparotomy was decided as a diagnostic and therapeutic method. . Conclusions: Intestinal obstruction due to ascariasis in pediatric patients is rare and its symptoms are not conclusive, therefore the importance of taking into account risk factors such as the place where it comes from and the sanitary conditions in which they live, for the diagnosis and timely treatment in order to avoid complications with a high risk of mortality such as intestinal obstruction, it is always important in patients with predisposing factors, preventive measures (hand hygiene, food sanitation, access to drinking water, etc.) still above even the prophylactic ones