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Intramural sparganosis manifested as intestinal obstruction--a case report
1Department of Pathology, College of Medicine, Seoul National University, Korea.
Journal of Korean Medical Science
|June 1, 1987
Summary
A rare case of intramural sparganosis of the jejunum caused intestinal obstruction. The resected jejunum showed a degenerated tapeworm larva with granulomatous inflammation and calcospherules.
Area of Science:
- Gastroenterology
- Parasitology
- Surgical Pathology
Background:
- Intramural sparganosis of the jejunum is a rare parasitic infection.
- Intestinal obstruction is a potential complication of jejunal sparganosis.
Observation:
- A 48-year-old man presented with acute abdomen due to intestinal obstruction.
- Surgical resection of the affected jejunum revealed a degenerated sparganum within the submucosa.
- Extensive edema and a granulomatous tissue reaction with palisading histiocytes and mononuclear cells surrounded the parasite.
Findings:
- The degenerated sparganum contained prominent calcospherules.
- Eosinophil infiltration in the surrounding tissue was notably scanty.
- The histological findings were typical for sparganosis with a unique presentation.
Implications:
- This case highlights the importance of considering parasitic infections in the differential diagnosis of intestinal obstruction.
- Accurate histopathological identification is crucial for diagnosing intramural sparganosis.
- Understanding the host tissue reaction, including calcospherule formation, aids in diagnosis.