A case report of perineal sparganosis mansoni from an endemic region

Sparganosis mansoni is a parasitic disease caused by the larva of Spirometra mansoni, which occurs worldwide, especially in Asian countries. In recent years, there have been cases of sparganosis reported in Guizhou province in southwest China. In this report, a case of sparganosis mansoni with a painful mass in perineal region is presented. The patient is a 49-year-old Chinese woman, she did not have a history of eating raw frogs or snakes. But she drank unboiled water from rivers and streams. Physical examination showed her vital signs were stable and blood routine examination was also regular. After surgery to remove the mass, a worm was removed from the foreign matter, which measured about 10 cm in length and 2 mm in diameter, that was identified as S. mansoni. One week after the operation, her symptoms changed significantly. To our knowledge, this is the first case of perineal sparganosis mansoni in Guizhou. Surgical removal is effective for the treatment of perineal sparganosis, followed by a course of therapy.