Min Hong Ki, Han Sang Ho, Yoon Sei Ok, Oh Chang Hyun
Department of Parasitology, College of Medicine, Ewha Womans University, Korea.
Kisaengchunghak Chapchi. 1976 Jun;14(1):61-64. doi: 10.3347/kjp.1976.14.1.61.
In May 1974, authors encountered a 37 year old Korean male who was suffering from very serious condition of acute abdomen. On exploratory laparotomy, a ruptured granulomatous mass in the proximal portion of the ileum showing extensive inflammatory and gangrenous changes was found and about 4 ft. long of the bowel was resected. From the honey-combed fibrous capsules in the mass, four plerocercoid larvae, spargana, measuring about 3 to 7 cm in lengths were extirpated. The patient had a past history of having eaten the raw flesh of a snake as a tonic about 7 months prior to admission. Four cases of intra-abdominal sparganosis reported previously in Korea and the present case were discussed briefly. Snakes and frogs in Korea are very important second intermediate hosts for the 1arva, Sparganum stage. It is most preferable that the habitual ingestion of the raw fleshes of them should be avoided in this country.
1974年5月，作者遇到一名37岁的韩国男性，他患有非常严重的急腹症。在剖腹探查术中，发现回肠近端有一个破裂的肉芽肿性肿块，呈现广泛的炎症和坏疽性改变，并切除了约4英尺长的肠段。从肿块中蜂窝状的纤维包膜中，取出了4条裂头蚴幼虫，长度约为3至7厘米。患者有入院前约7个月食用生蛇肉作为滋补品的既往史。简要讨论了韩国先前报道的4例腹内裂头蚴病病例及本病例。在韩国，蛇和青蛙是裂头蚴幼虫（裂头蚴阶段）非常重要的第二中间宿主。在这个国家，最好避免习惯性地食用它们的生肉。
