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[Intraperitoneal dirofilariasis].

A Delage, H Baumel, B Deixonne

    Bulletin De La Societe De Pathologie Exotique Et De Ses Filiales
    |January 1, 1984
    PubMed
    Summary
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    A Dirofilaria (Nochtiella) repens worm was found in pancreatic adipose tissue during surgery. This discovery is significant as visceral cases of this parasitosis had not been previously reported in France.

    Area of Science:

    • Parasitology
    • Pathological Anatomy
    • Gastrointestinal Surgery

    Background:

    • Dirofilaria (Nochtiella) repens is a known parasite in Southern France, typically found near coastal pools.
    • Visceral dirofilariasis is rare, with most human infections occurring through mosquito vectors.
    • Surgical discovery of parasites in unusual locations presents diagnostic challenges.

    Observation:

    • A Dirofilaria (Nochtiella) repens was identified within the adipose tissue of the pancreas during a pancreatectomy.
    • Microscopic examination revealed characteristic longitudinal ridges on the worm's cuticle.
    • The patient's clinical history included liver pathology and subsequent mesenteric infarction.

    Findings:

    • This case represents the first documented instance of Dirofilaria (Nochtiella) repens found within the pancreas in France.

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  • The topographical diagnosis of visceral dirofilariasis in this location was previously unreported in the country.
  • The patient unfortunately died two weeks post-operation due to mesenteric infarction.

    • Implications:

    • Highlights the potential for Dirofilaria (Nochtiella) repens to cause visceral disease in unexpected anatomical sites.
    • Underscores the importance of considering parasitic infections in differential diagnoses, even in non-endemic regions or unusual presentations.
    • Suggests a need for increased awareness and diagnostic vigilance for dirofilariasis in surgical and pathological settings in France.