Ascaris liver abscess in children |
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Authors: | Shamsul Bari Khurshid A Sheikh Mohammad Ashraf Zahoor Hussain Asif Hamid Gowhar Nazir Mufti |
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Institution: | (1) Department of General Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, India;(2) Present address: Department of General Surgery, R/O Professors Colony, Naseem Bagh, Hazratbal, Srinagar, Kashmir, 190006, India |
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Abstract: | Background Liver abscess in childhood is a very challenging subject both for patients and doctors. In India, pyogenic liver abscesses
have been found mostly in children, especially in rural areas. Liver abscess due to wandering ascarids is a common complication
in children in Kashmir, although it is rare outside.
Methods The study was carried over a period of 10 years at Sheri-Kashmir Institute of Medical Sciences Srinagar India. Ten cases of
liver abscesses due to wandering ascarids in children were encountered. The children were aged 2 years to 13 years.
Results 70% of the children were from rural areas. All ten patients presented with fever, while three patients presented with peritonitis.
Ultrasonography was the main tool of diagnosis. All ten patients were managed by open surgical drainage.
Conclusion We conclude that Ascaris infestation should always be kept in mind while dealing with liver abscess in children. |
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Keywords: | Ascaridal liver abscess peritonitis open drainage |
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