Abstract
IntroductionAscaris in urinary bladder is an extremely rare phenomenon. It may occur after fistula formation between urinary and gastrointestinal tract or by retrograde migration of adult worm, and is associated with complications.Case presentationA 47-year-old Amhara woman from rural northwest Ethiopia presented with a complaint of difficulty to fully evacuate her bladder of 1 year duration. Ultrasonography showed thickened bladder wall with echo debris. There were also thickened bowel and fluid-filled loops of intestine adjacent to urinary bladder. On cystoscopy examination, there was live ascaris swimming inside the bladder. Enterovesical fistula was entertained and explorative laparotomy performed. Findings confirmed presence of iliovesical fistula. The fistula was divided and the continuity of the intestine restored. The inflammatory mass was subjected to histopathology study and turned out to be benign inflammatory reaction. She was also given antihelminthics. Postoperatively, her course was uneventful, and she was discharged cured.ConclusionThough it is extremely rare to have urinary symptoms from ascariasis, it is important to have a high index of suspicion for all possibilities.
Highlights
Ascaris in urinary bladder is an extremely rare phenomenon
Though it is extremely rare to have urinary symptoms from ascariasis, it is important to have a high index of suspicion for all possibilities
Case presentation A 47-year-old para five Amhara woman from rural northwest Ethiopia without remarkable past medical history presented with a complaint of difficulty to fully evacuate her bladder of 1 year duration associated with protruding mass per vagina
Summary
Soil-transmitted helminth (STH) infections like ascariasis are a public health problem in developing countries where adequate method of disposal of human excreta is not available and affect more than one billion people [1, 2]. Case presentation A 47-year-old para five (all alive and healthy) Amhara woman from rural northwest Ethiopia without remarkable past medical history presented with a complaint of difficulty to fully evacuate her bladder of 1 year duration associated with protruding mass per vagina. Later, she Mesele and Mengistu J Med Case Reports (2021) 15:480 reported voiding was only possible after reduction of the prolapsed organs. She Mesele and Mengistu J Med Case Reports (2021) 15:480 reported voiding was only possible after reduction of the prolapsed organs She reported frequent treatment for urinary tract infection with ciprofloxacillin and norfloxacillin in the last 1 year at a nearby health facility. She had follow-up after 6 months and was doing fine
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