general rad case 4

Findings:

• Tubular hypodense structure within the jejunum.
• Oral contrast also seen within the tubular structure giving a parallel band appearance.

Diagnosis:

Small bowel ascariasis

Discussion:

• Ascariasis is a common parasitic infection in tropical and subtropical regions.
• A large amount of ascaris worms within the lumen can cause bowel obstruction.
• It is also the most common cause of pulmonary Loeffler's syndrome.
• If no obstruction / perforation, treatment is by single dose of 400mg albendazole.