Trop Gastroenterol. 2005 Oct-Dec;26(4):201-2.

Strongyloidiasis presenting as duodenal obstruction.

Harish K, Sunilkumar R, Varghese T, Feroze M.

Source

Medical College Hospital, Calicut, Kerala. dr_harishk@yahoo.co.in

Abstract

Small bowel obstruction due to Strongyloides stercoralis is rare especially in immunocompetent individuals. We report a case of a 45-year-old man who presented with a history of severe abdominal pain, intermittent low-grade fever and vomiting. An upper GI endoscopy revealed a diffusely edematous second portion of duodenum and narrowing in the third part of duodenum with food residue in the stomach. Barium contrast upper-GI radiography revealed partial small-bowel obstruction. Duodenal biopsy specimens revealed Strongyloides stercoralis in the submucosa with inflammatory infiltrate. The patient was treated with ivermectin and had complete resolution of symptoms.

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