Fabijanić D, Giunio L, Ivani N, Fabijanić A, Mirić D, Kardum D
Department of Internal Medicine, General Hospital Knin, Croatia.
J Ultrasound Med. 2001 Mar;20(3):275-7. doi: 10.7863/jum.2001.20.3.275.
We present the case of a 50-year-old woman with abdominal pain, nausea, loss of appetite, and frequent stools in whom the routine ultrasonographic examination demonstrated a double-reflective, ribbon-like structure in the lumen of the initial segment of the ascending colon, which suggested colon taeniasis. Because the initial parasitologic analysis yielded negative results and application of albendazol did not have any therapeutic effect, the diagnosis was confirmed by barium enema and subsequently by parasitologic examination of proglottids passed in the stool after application of niclosamide. The double-reflective, ribbon-like structure in the lumen of the intestine seems to be specific to the ultrasonographic appearance of intestinal taeniasis. Transcutaneous ultrasonography of the gastrointestinal tract, performed as a screening method before conventional radiologic or endoscopic examination, can point to the ultimate diagnosis of colon taeniasis.
我们报告一例50岁女性病例，该患者有腹痛、恶心、食欲不振及大便频数症状，常规超声检查显示升结肠起始段管腔内有双反射带状结构，提示结肠绦虫病。由于最初的寄生虫学分析结果为阴性，且应用阿苯达唑无任何治疗效果，通过钡剂灌肠并随后对应用氯硝柳胺后粪便中排出的节片进行寄生虫学检查确诊了该诊断。肠管腔内的双反射带状结构似乎是肠绦虫病超声表现的特征。在进行传统放射学或内镜检查之前，将经皮胃肠道超声检查作为一种筛查方法，可指向结肠绦虫病的最终诊断。
