由Taenia saginata引起的直肠穿孔:一个案例报告
Nurhilal Kızıltoprak1, Ayşe Gökçen Yıldız2, Gülçin Ercan1
1Department of General Surgery, Istanbul Sultan 2. Abdülhamid Han Training and Research Hospital, Istanbul, Turkey.
Foodborne pathogens and disease
|April 30, 2025
概括
一个罕见的牛肉带虫病例 (Taenia saginata) 在一个69岁的女性中引起肠道穿孔,强调了需要提高认识的必要性. 迅速的外科干预和预防措施对于控制这种寄生虫并发症至关重要.
科学领域:
- 寄生虫学的寄生虫学
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 牛肉带状 (Taenia saginata) 是一种常见的动物性寄生虫,在全球范围内影响了数以百万计的人.
- 虽然它通常存在于胃肠道,但可能会导致各种并发症,尽管肠道穿孔很罕见.
- 从T. saginata感染的手术并发症很少报告.
研究的目的:
- 报告一种罕见的肠道穿孔病例,由Taenia saginata引起.
- 强调在急性腹部疾病中考虑寄生虫感染的重要性.
- 突出及时诊断和手术管理的作用.
主要方法:
- 一个69岁的女性出现了急性腹部症状,暗示腹膜炎的病例报告.
- 诊断工作包括体检,实验室测试 (WBC,CRP) 和成像 (揭示空气).
- 紧急腹腔切除术发现并切除了直肠穿孔;病理学检查证实了T. saginata的卵.
主要成果:
- 患者出现了15天的腹痛,吐,膨胀和肠道排便减少.
- 图像检测证实了胃肠道的穿孔.
- 穿孔上直肠的手术切除显示了肠壁中的T. saginata蛋.
结论:
- 塔尼亚沙吉纳塔会导致罕见但严重的并发症,如肠道穿孔.
- 在患有急性腹部疾病的患者中,对寄生虫感染的临床怀疑是必要的.
- 有效的管理涉及及及时的手术干预和预防策略,如适当的食品处理和卫生.
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