Routine abdominal ultrasound by an intensivist should be enc
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Abstract :
Roundworm infestation is common in tropical climate population with a low socioeconomic status. We describe a case of a young male with polytrauma accident who presented with small bowel dysfunction with a high gastric residual volume during enteral feeding. While searching the etiology, the intensivist performed bedside abdominal ultrasound (USG) as a part of whole body USG screening along with clinical examination using different frequency probes to examine bowel movement and ultimately found ascariasis to be the cause. This case report will boost up the wide use of bedside USG by critical care physicians in their patient workup.

Case :
A 35-year-old man got admitted to our trauma ICU with the diagnosis of head injury (frontal contusion), faciomaxillary injury with mesenteric artery tear. Initial focussed assessment sonography for trauma was positive. He was shifted to the operating room for exploratory laparotomy. Mesenteric tear repaired and there was no bowel injury. In view of the low Glasgow Coma Scale, metabolic acidosis, and hypothermia he was not extubated. After consulting the general surgeon enteral nutrition was started from the 4th postoperative day onwards. On the 5th day, his orogastric (Ryle's) tube aspiration appeared high.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4578204/
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