Randomized trial identifies intestinal helminth infection causing bowel obstruction in a young male, suggesting the need for thorough exposure histories.
Key Points
The study aims to highlight the challenges in diagnosing intestinal helminth infections that mimic inflammatory bowel diseases such as Crohn's disease.
Analyzed a case report of a 27-year-old male with chronic gastrointestinal symptoms and eosinophilia.
Conducted colonoscopy to retrieve a live helminth from the terminal ileum and performed histopathologic evaluation.
Administered a single oral dose of 400 mg albendazole for treatment.
Imaging revealed distal ileal wall thickening and upstream dilatation.
Histopathology identified an intestinal nematode compatible with Ascaris lumbricoides.
Treatment led to rapid symptom resolution and sustained clinical improvement on follow-up.