Right-sided scrotal ascariasis
A 35-year-old male was referred to us from a peripheral hospital with chief complaints of sudden onset severe pain over right side of scrotum and fever since 2 days. He also gave history of worm coming out of root of scrotum since the same day. He had undergone surgery for right-sided strangulated inguinal hernia 2 years back. Resection and anastomosis was done through inguino scrotal incision. On examination patient was anxious, febrile and had tachycardia. Local examination revealed adult Ascaris worms (4–12 cm long, some with ventrally curved tail end) coming out of the root of scrotum []. Right side of scrotum was swollen, red and overlying skin was shiny. Local temperature was raised and it was tender to touch. Left scrotum was normal. Blood investigation revealed leucocytosis. Right side of scrotum was explored and all the worms present in the tunica vaginalis sac (containing hydrocele fluid) were taken out. Hydrocele fluid was clear. Testis was normal. Eversion of sac was done. Post operatively, deworming was done with albendazole. Patient was discharged on 7th postoperative day after uneventful recovery.