Round worm infestation in fundus of stomach: a rare case presentation

Sharique Ansari, Nisha Mandhane, Tanveer Parvez Shaikh, Sandesh Deolekar, Sangram Karandikar


A case of a 27-year-old female, in whom a 10cm long round worm (Ascaris lumbricoides) was found in the fundus of stomach, is reported here. In this patient, Ascaris lumbricoides upward migration of the worm to the fundus of stomach, its rare phenomenon, worm mostly seen in the small intestine. This is mainly because of the high gastric acidity. In this patient, we believe proton pump inhibitor (PPI) use caused hypochlorhydria and coexistence H. pylori infection caused chronic atrophic gastritis, which resulted in the retrograde migration of the roundworm to the stomach in our patient.


Ascaris lumbricoides, Fundus of Stomach, Proton pump inhibitor, Oesophagogastroduodenoscopy

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Sanai FM, Al-Karawi MA. Biliary acsariasis: Report of a complicated case and literature review. Saudi J Gastroenterol 2007;13:25-32.

Sarmast AH, Parray FQ, Showkat HI, Lone YA, Bhat NA. Duodenal perforation with an unusual presentation: a case report. Case Rep Infect Dis 2011;2011:512607, Article ID.

Iya D, Kidmas AT, Ozoilo K, Sani AA. Gastric perforation and ascariasis: casual or causal relationship. Ann Afr Med 2004;3:161.

Louw M. The abdominal complication of adult Ascaris lumbricoides manifestations in children. Br J Surg 1966;53:510–21.

Basavaraju SV, Hote PJ. Acute GI and surgical complications of Ascaris lumbricoides infection. Infect Med 2003;20:154–9.

Efem SE. Ascaris lumbricoides and intestinal perforation. Br J Surg 1987;74:643– 4.

Surendran N, Paulose MO. Intestinal complications of round worms in children. J Pediatr Surg 1988;23: 931– 5.

Karatepe O, Tu¨kenmez M, Hu¨nerli K, Citlak G, Salmaslioglu A, Battal M, et al. Ascaris as a leading point for small-bowel intussusception in an adult: a rare cause of intussusception. Am J Emerg Med 2008;26:381. e3–4.

Nikolic´ H, Palcˇevski G, Saina G, Persˇic´ M. Chronic intussusception in children caused by Ascaris lumbricoides. Wien Klin Wochenschr 2011; 123:294-6.

Peker K, Kilic K. Endoscopic diagnosis in Ascaris lumbricoides case with pyloric obstruction. Turkiye Parazitol Derg 2011;35:210–3.