Resembling spaghetti, but this is much worse!
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Description: Hundreds of live worms surgically extracted from the intestines!! Ascariasis is a soil helminth infection of the small intestine caused by the Ascaris lumbricoides parasite (a round worm). The transmission of infection is usually from hand to mouth, and humans are the only known host. Risk is associated with poor sanitary conditions and environmental fecal contamination. Following ingestion of infective eggs, larvae hatch and invade the intestinal mucosa. The larvae are carried via the portal, then systemic circulation to the lungs. The larvae mature further in the lungs, penetrate the alveolar walls, and ascend the bronchial tree to the throat. The larvae are then swallowed. Upon reaching the small intestine, they develop into adult worms, which can live for 1 to 2 years. The heavy infections can cause intestinal blockage and subsequently obstruction. Multiple worms can form a large bolus, resulting in mechanical obstruction of the bowel lumen. Other complications can arise when adult worms move to certain organs such as the bile duct, pancreas, or appendix; subsequently causing appendicitis, biliary colic, acute cholangitis, acute cholecystitis, and hepatic abscess. In addition, the worm bolus may serve as a lead point in intussusception, where one intestinal segment invaginates into the adjoining intestinal lumen, causing obstruction. During extreme conditions, such as inflammation, starvation, or worm bolus obstruction, an ulcers may develop and cause perforations. This complicated condition is requiring an emergency surgery and the worms should be manually extracted.