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无症状性腹腔蛔虫病:诊断性腹腔镜检查的重要性

Asymptomatic intraperitoneal ascariasis: Importance of diagnostic laparoscopy.

作者信息

Anand Santhosh, Sharma Aditya P, Aggarwal Sandeep, Nath Devajit, Mathur Sandeep

机构信息

Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.

Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Minim Access Surg. 2014 Jul;10(3):157-8. doi: 10.4103/0972-9941.134881.

DOI:10.4103/0972-9941.134881
PMID:25013334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4083550/
Abstract

Migration of Ascaris from intestine into peritoneal cavity is rare and usually presents as acute abdomen. We report a case of 41-year-old male who was admitted for laparoscopic mesh rectopexy for rectal prolapse. During the initial laparoscopy, purulent fluid was seen in pelvis. A complete diagnostic laparoscopy was done. An omental nodule was found, which was excised and extracted in a bag. On histopathology, the omental nodule revealed gravid Ascaris lumbricoides.

摘要

蛔虫从肠道迁移至腹腔的情况较为罕见,通常表现为急腹症。我们报告一例41岁男性患者,因直肠脱垂接受腹腔镜网状直肠固定术入院。在最初的腹腔镜检查中,发现盆腔内有脓性液体。遂进行了全面的诊断性腹腔镜检查。发现一个网膜结节,将其切除并装入袋中取出。组织病理学检查显示,该网膜结节内有妊娠的蛔虫。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aea/4083550/9bea1476021c/JMAS-10-157-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aea/4083550/851b1480d982/JMAS-10-157-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aea/4083550/9bea1476021c/JMAS-10-157-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aea/4083550/851b1480d982/JMAS-10-157-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aea/4083550/9bea1476021c/JMAS-10-157-g002.jpg

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本文引用的文献

1
Ascaris lumbricoides causing infarction of the mesenteric lymph nodes and intestinal gangrene in a child: a case report.蛔虫导致儿童肠系膜淋巴结梗死和肠坏疽:一例报告
Ger Med Sci. 2011;9:Doc12. doi: 10.3205/000135. Epub 2011 May 23.
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Intraperitoneal round worm abscess (case report).腹腔内蛔虫脓肿(病例报告)
Indian Pediatr. 1980 Jul;17(7):633-6.
3
Conservative management of intestinal obstruction due to Ascaris worms in adult patients: a preliminary report.成年患者蛔虫所致肠梗阻的保守治疗:初步报告
J R Coll Surg Edinb. 1988 Dec;33(6):318-21.
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Ascarial abscess of omentum.蛔虫性大网膜脓肿
Indian J Gastroenterol. 1989 Oct;8(4):305-6.
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Roundworm granuloma of the anterior abdominal wall.腹壁前部蛔虫性肉芽肿
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