• JNMA J Nepal Med Assoc · Jan 2023

    Case Reports

    Upper Gastrointestinal Bleeding Induced by Gastric Ulcer Secondary to Strongyloidiasis: A Case Report.

    • Bishal Dhakal, Sagun Dawadi, Bishnu Deep Pathak, RegmiBinit UpadhayaBUJibjibe Primary Health Care Centre, Rasuwa, Nepal., Deekshanta Sitaula, Prasamsa Pudasaini, Sandesh Lamichhane, Abinash Karki, and Nabin Simkhada.
    • Nepalese Army Institute of Health and Sciences, Kathmandu, Nepal.
    • JNMA J Nepal Med Assoc. 2023 Jan 1; 61 (257): 808380-83.

    UnlabelledStrongyloidiasis, 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.Keywordsgastric ulcer; gastrointestinal haemorrhage; Strongyloides stercoralis; strongyloidiasis.

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