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As an obligate internal parasite of humans, Ascaris lumbricoides can theoretically be found wherever humans are present. The ascariasis is one of the most cosmopolitan intestinal parasite infections, and its biggest prevalence is observed in the tropical and subtropical areas. We are presenting a study emphasizing on abdominal problems due to ascariasis lumbricoides in adult patients, which has not been conducted so far in detail in the past. Material and Methods: A total of 254 patients of roundworm infestation were included in this study from 2008-2018 prospectively. All these patients were more than 18 years of age and presented with one or other abdominal complaint due to ascaris lumbricoides. After properly diagnosing the disease, treatment was initiated subsequently depending upon the condition of the patient. Majority of the patients were managed conservatively. Rest of the cases were managed by endoscopic intervention or by surgical (open or laproscopic) intervention. Results: Out of 254 patients, 164 patients (65%) presented with hepato-biliary disease. Of these 164 cases,129 patients (79%) had biliary colic, 25 patients (15%) had cholangitis, 8 (5%) patients presented with worm induced acalcular cholecystitis, and 2(1%) patients presented with liver abscess. 49 (19%) patients out of 254 patients presented with pancreatic disease, and 27 (10.5%) patients presented to us with intestinal obstruction-20 had sub-acute intestinal obstruction and 7 patients presented with acute obstruction. Out of total 254 patients, 7(2.7%) patients presented with peritonitis (perforation), 5 (2%) patients presented with acute appendicitis, and 2 (0.8%) patients had meckle’s diverticulitis. Conclusion: Ascaris lumbricoides can present with wide range of acute or chronic abdominal diseases in adult patients. Thus a clinician in emergency department should consider ascaris lumbricoides infestation as one of the differential diagnosis in case of acute abdomen in adults in an endemic area, which otherwise he/she is likely to ignore in the first contact.

A Prospective Hospital Based Study of Ascaris Lumbricoides in Adults: Our Ten Years’ Experience From A Highly Endemic Area of India