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A CLINICAL CASE OF COEXISTENT PARASITIC LIVER AND GASTRIC LESIONS CAUSED BY CLONORCHIASIS
Vladimir Belokonev1, Andrei I Gritsaenko2, Alexey Nikolaev3
1SAMARA STATE MEDICAL UNIVERSITY, SAMARA, RUSSIA.
Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|November 2, 2021
Summary
Clonorchiasis, a parasitic infection, can manifest in the stomach, leading to complications like perforated gastric ulcers. This case highlights parasite colonies found within the gastric wall, confirming this rare presentation.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Parasitology
Background:
- Clonorchiasis is a foodborne parasitic trematode infection caused by Clonorchis sinensis.
- Typically, Clonorchis sinensis infects the biliary tract and pancreatic ducts.
- Gastric wall involvement is an uncommon but documented manifestation.
Observation:
- A clinical case involving a perforated gastric ulcer is presented.
- Morphological examination of the ulcer revealed the presence of Clonorchis sinensis colonies.
- Parasite colonies were identified within the gastric wall tissue.
Findings:
- The study confirms that Clonorchis sinensis can colonize the gastric wall.
- This colonization can lead to severe gastric pathology, such as perforation.
- Morphological evidence supports extrabiliary site infection by Clonorchis sinensis.
Implications:
- This case expands the understanding of Clonorchis sinensis's potential tissue tropism.
- It underscores the importance of considering parasitic infections in unexplained gastrointestinal pathologies.
- Awareness of gastric clonorchiasis is crucial for accurate diagnosis and effective treatment.
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