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Case of the Week 572


What is the most likely diagnosis?

  • 21 year-old with colicky pain and eosinophilia



Radiograph from Barium Small Bowel Follow-through

  1. Sprue
  2. Intussusception
  3. Ascariasis
  4. Crohn Disease
  5. Mechanical Large Bowel Obstruction

Additional Image-None

 

Additional Images

 


None


Answer:

 

3. Ascariasis

 

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Ascariasis

General Considerations

  • Ascaris lumbricoides (roundworm)
  • Most common helminthic infestation in the world
  • Usually asymptomatic and most common in children ages 1 to 10 years
  • Most often found in distal small bowel

MORE . . .

 


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This Week

21 year-old with colicky pain and eosinophilia
 
 
Some of the fundamentals of interpreting chest images
 
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology
 
Recognizing normal and  key abnormal intestinal gas patterns, free air and abdominal calcifications
 
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls
 
How to recognize the most common arthritides




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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.