{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T22:05:54Z","timestamp":1773353154615,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2010,2,9]],"date-time":"2010-02-09T00:00:00Z","timestamp":1265673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2010,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Ascariasis is a staggering health problem commonly seen in children of endemic areas. In the abdomen, ascaris lumbricoides can cause a myriad of surgical complications. Intestinal obstruction by ascaris lumbricoides is commonly seen in children. Most cases are managed conservatively. The purpose was to study the clinical presentation and management of symptomatic intestinal ascariasis in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 3\u2010year study was performed from April 2006 to April 2009 of pediatric\u2010age patients who had symptomatic intestinal ascariasis. All patients had detailed clinical history, examination, plain X\u2010ray of abdomen, and ultrasonography of abdomen. Peroperative findings were recorded in all patients who had surgical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This prospective study had 360 patients. Male to female ratio was 1.37:1. 187 patients (52%) presented within 2\u20134\u00a0days of duration of illness. Mean \u00b1 standard deviation (SD) age of patients was 6.35 \u00b1 2.25 years. Age group of 4\u20137 years (80%) was commonest group affected. Abdominal pain was a leading symptom in 357 patients (99%) with the pain in periumbilical area present in 215 patients (60%). In 227 patients (63%) abdominal distension was seen and was the commonest physical finding. Palpable worm masses were seen in 129 patients (36%); 81 patients (63%) had palpable worm masses in the umbilical quadrant. On X\u2010ray of abdomen, visible worm masses were seen in 83 patients (23%). Abdominal sonography showed interloop fluid in 177 patients (49%) and free fluid in the pelvis of 97 patients (27%). The number of patients who were managed conservatively was 281 (78%), and 79 patients (22%) had surgical intervention. In patients who had surgical intervention, 39 patients (49%) had enterotomy and 7 patients (9%) had kneading of worms. Postoperative complications occurred in 33 patients, and an overall mortality of 1% (1 patient) was seen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Ascaridial intestinal obstruction is common in children in the Kashmir. Abdominal pain is the leading symptom in intestinal ascariasis. Plain X\u2010ray and ultrasonography of the abdomen are used to diagnosis intestinal ascariasis. The majority of the patients can be managed conservatively.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-010-0450-3","type":"journal-article","created":{"date-parts":[[2010,2,8]],"date-time":"2010-02-08T16:41:23Z","timestamp":1265647283000},"page":"963-968","source":"Crossref","is-referenced-by-count":22,"title":["Intestinal Ascariasis in Children"],"prefix":"10.1002","volume":"34","author":[{"given":"Imtiaz","family":"Wani","sequence":"first","affiliation":[{"name":"Department of Surgery S.M.H.S. Hospital 190009 Srinagar Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muddasir","family":"Rather","sequence":"additional","affiliation":[{"name":"Department of Surgery S.M.H.S. Hospital 190009 Srinagar Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghulam","family":"Naikoo","sequence":"additional","affiliation":[{"name":"Department of Surgery S.M.H.S. Hospital 190009 Srinagar Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abid","family":"Amin","sequence":"additional","affiliation":[{"name":"GB Pant Hospital Srinagar Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed","family":"Mushtaq","sequence":"additional","affiliation":[{"name":"Department of Surgery S.M.H.S. 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