Pyuza, Jeremia J.Andongolile, Alice A.Issangya, Christain E.Msuya, DavidYahaya, James J.Shao, Elichilia R.Mremi, Alex R.2021-05-242021-05-242020Pyuza, J. J., Andongolile, A. A., Issangya, C. E., Msuya, D., Yahaya, J. J., Shao, E. R., & Mremi, A. R. (2020). Missed opportunity of deworming a Maasai boy from nomadic family leading to life threatening intestinal obstruction. Journal of Surgical Case Reports, 2020(5).DOI: https://doi.org/10.1093/jscr/rjaa096http://hdl.handle.net/20.500.12661/3187Full text article. Also available at https://doi.org/10.1093/jscr/rjaa096Mass deworming against soil-transmitted helminthiasis, including Ascaris lumbricoides (AL), is one of the largest public health interventions in low- and middle-income countries. The prevalence of A. lumbricoides in Tanzania is 6.8%. We present a 3-year-old male of a known Tanzanian nomadic tribe (Masaai tribe) with history of missed deworming, who was brought to the emergency department with a 3-day history of constipation, non-projectile, bilious vomiting, generalized abdominal distension and pain. He was diagnosed with intestinal obstruction by the use of a plain abdominal X-ray, which revealed marked gaseous distension of the stomach and bowels without significant air-fluid levels. He was initially treated with intravenous ceftriaxone 50 mg/kg, metronidazole 15 mg/kg and acetaminophen 15 mg/kg. An explorative laparotomy was then performed. Intraoperative findings demonstrated a dense collection of A. lumbricoides worms in the gangrenous proximal jejunum and duodenum. Thorough abdominal lavage was carried out and abdomen was closed.enAscaris lumbricoidesALSoil-transmitted helminthiasisPublic healthPublic health interventionsConstipationNonprojectileBilious vomitingAbdominal distensionAbdominal pain.Pain.Article