Hirasaki Shoji, Murakami Kazutoshi, Mizushima Takaaki, Hiramatsu Kazuhisa, Hanayama Yoshihisa, Kanamori Tatsuya, Koide Norio
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan.
Intern Med. 2012;51(2):177-9. doi: 10.2169/internalmedicine.51.6499. Epub 2012 Jan 15.
A 46-year-old Japanese man visited our hospital for chronic abdominal pain, persistent diarrhea and discharge of proglottids for 7 years. He had been living in Lao People's Democratic Republic. Ileography using meglumine/diatrizoate sodium (Gastrografin) revealed a long tapeworm. A Taenia saginata including the scolex was excreted through the intestinal tract by the administration of total 780 ml of Gastrografin. Taeniasis is an important disease in the differential diagnosis of imported diseases in Japan. Parasite infection should be suspected in patients with chronic abdominal pain or persistent diarrhea regardless of the findings for small bowel obstruction when there is a history of overseas travel.
一名46岁的日本男子因慢性腹痛、持续性腹泻及绦虫节片排出7年而前来我院就诊。他一直生活在老挝人民民主共和国。使用泛影葡胺/泛影酸钠（gastrografin）进行的小肠造影显示有一条长绦虫。通过总共给予780毫升gastrografin，一条包括头节的牛带绦虫经肠道排出。在日本，绦虫病是输入性疾病鉴别诊断中的一种重要疾病。有海外旅行史的慢性腹痛或持续性腹泻患者，无论小肠梗阻的检查结果如何，均应怀疑寄生虫感染。
