Publication: Upper Gastrointestinal Bleeding Induced by Gastric Ulcer Secondary to Strongyloidiasis: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Strongyloidiasis, a parasitic infestation by Strongyloides stercoralis, involves the gastrointestinal tract with a spectrum from duodenitis to enterocolitis. However, gastric involvement with the manifestation of upper gastrointestinal bleeding is an extremely rare condition due to Strongyloides stercoralis. Due to irregular excretion of larvae, unclear symptoms, paucity of effective diagnostic tools and low parasitic load, makes clinicians difficult to reach the diagnosis of strongyloidiasis. Here, we present a case of upper gastrointestinal bleeding due to a large gastric ulcer whose aetiology was identified to be Strongyloides stercoralis infection of the gastric region by the diagnosis of exclusion.
Description
Bishal Dhakal
Nepalese Army Institute of Health and Sciences, Kathmandu, Nepal
Sagun Dawadi
Nepalese Army Institute of Health and Sciences, Kathmandu, Nepal
Bishnu Deep Pathak
Jibjibe Primary Health Care Centre, Rasuwa, Nepal
Binit Upadhaya Regmi
Jibjibe Primary Health Care Centre, Rasuwa, Nepal
Deekshanta Sitaula
Rasuwa District Hospital, Rasuwa, Nepal
Prasamsa Pudasaini
Nepalese Army Institute of Health and Sciences, Kathmandu, Nepal
Sandesh Lamichhane
Chitwan Medical College, Bharatpur, Chitwan, Nepal
Abinash Karki
Nepalese Army Institute of Health and Sciences, Kathmandu, Nepal
Nabin Simkhada
Dhulikhel Hospital, Dhulikhel, Kavre, Nepal
Keywords
Gastric ulcer, Gastrointestinal haemorrhage, Strongyloides stercoralis, Strongyloidiasis