caa a22 4500 465771866 CHVBK 20180323111931.0 cr unu---uuuuu 170327e19901101xx s 000 0 eng 10.1007/BF00174333 doi (NATIONALLICENCE)springer-10.1007/BF00174333 Abdominal complications of Ascaris lumbricoides in children [Elektronische Daten] [H. Rode, S. Cullis, A. Millar, B. Cremin, S. Cywes] Human infestation with Ascaris lumbricoides is common in tropical and subtropical areas and is responsible for 20% of acute admissions annually to the surgical wards of the Red Cross Children's Hospital. Of the 225 children with symptomatic ascariasis seen during the 5-year period 1985-1989, 66% were intestinal, 30% hepato-biliary, and 4% pancreatic. Real-time ultrasound was the method of choice for diagnosis of invasion of the biliary and pancreatic systems. Eighty-four per cent resolved within 3 days after a short transient illness. Endoscopic retrograde cholangio-pancreatography was performed 15 times in 13 children when conservative measures failed and hepato-biliary infestation persisted. Complete removal of common bile duct worms was achieved in 55%. Thirty-seven (16%) were operated upon for deteriorating intestinal obstruction or persistent biliary and complicated hepatic disease. Indications for surgery are suspicion of ischaemic bowel, persistence of common bile duct worms for more than 4-6 weeks, liver disease, and persisting pseudocyst of the pancreas. Springer-Verlag, 1990 Ascaris lumbricoides nationallicence Complications nationallicence Ultrasonography nationallicence Endoscopic retrograde cholangio-pancreatography nationallicence Rode H. Departments of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch 7700, Cape Town, Republic of South Africa aut Cullis S. Departments of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch 7700, Cape Town, Republic of South Africa aut Millar A. Departments of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch 7700, Cape Town, Republic of South Africa aut Cremin B. Department of Radiology, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch 7700, Cape Town, Republic of South Africa aut Cywes S. Departments of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch 7700, Cape Town, Republic of South Africa aut Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 397-401 0179-0358 5:6<397 1990 5 383 https://doi.org/10.1007/BF00174333 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00174333 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rode H. Departments of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch 7700, Cape Town, Republic of South Africa aut NATIONALLICENCE 700 1- Cullis S. Departments of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch 7700, Cape Town, Republic of South Africa aut NATIONALLICENCE 700 1- Millar A. Departments of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch 7700, Cape Town, Republic of South Africa aut NATIONALLICENCE 700 1- Cremin B. Department of Radiology, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch 7700, Cape Town, Republic of South Africa aut NATIONALLICENCE 700 1- Cywes S. Departments of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch 7700, Cape Town, Republic of South Africa aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 397-401 0179-0358 5:6<397 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer