case_images: PMC11074860_01
case_images: (a) NCCT abdomen shows dilated small bowel with air fluid levels. (b, c) Distal ileum and colon show feces with multiple foci of radiolucent, thread-like structures. (d) Coronal sections: dilated distal ileum filled with worms. (e) Clumping of small bowel into a cocoon, most likely due to Koch's abdomen in the past. (f) Sagittal section showing small bowel filled with feces and adult worms. Yellow arrows indicate important findings in each image.
case_images: CRIS2024-6640941.001.jpg
case_images: PMC11074860_01_CRIS2024-6640941.001.jpg
case_images: fig1
case_images: Radiolucent thread-like foreign bodies in the terminal ileum also were concerning for possible intraluminal worms (Figure 1).
case_images: (a) Small bowel wrapped into a cocoon. (b) Roundworms in the small bowel lumen with hyperemic and edematous wall. (c, d) Extracted adult Ascaris lumbricoides.
case_images: CRIS2024-6640941.002.jpg
case_images: PMC11074860_01_CRIS2024-6640941.002.jpg
case_images: fig2
case_images: The worms were extracted both from proximal and distal bowel (Figure 2).
case_images: Section of the appendix on microscopy shows ova of Ascaris in the lumen and also embedded in the mucosal layer. Black arrows indicate ova.
case_images: CRIS2024-6640941.003.jpg
case_images: PMC11074860_01_CRIS2024-6640941.003.jpg
case_images: fig3
case_images: Histopathology showed roundworm eggs in the appendix and small bowel mucosa and lumen with no evidence of tuberculosis. (Figure 3).