Image Challenge 3: Ascaris lumbricoides

July 12, 20080 comments

The worm was removed with an endoscopic snare and identified as Ascaris lumbricoides. The patient was given mebendazole; she did not pass any additional worms. Typically, complications from A. lumbricoides are associated with mechanical obstruction, such as migration of a worm into the biliary tree or the development of a high worm burden in the intestinal lumen. In this case, the abdominal discomfort resolved after the worm was removed. At a 2-month follow-up visit, the patient remained healthy.

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