Bekraki Ali, Hanna Khalil
Department of General Surgery, El Youssef Hospital, Akkar, P.O. Box: 387, Tripoli, Lebanon.
Department of Internal Medicine, El Youssef Hospital, Akkar, Lebanon.
J Parasit Dis. 2016 Mar;40(1):203-4. doi: 10.1007/s12639-014-0447-1. Epub 2014 Mar 4.
Complicated Taeniasis necessitating surgical intervention is extremely rare and is usually reported to occur in the distal ileal region of the Gastrointestinal tract. A case of peritonitis secondary to proximal jejunal perforation due to Taenia saginata is presented. Preoperative evaluation suggested the diagnosis of acute duodenal ulcer perforation. Although no real change in management and outcome is present, Taenia remains an exceptional direct cause of intestinal perforation, and should be kept on the list of differential diagnosis of peritonitis and acute abdomen in endemic geographical locations.
需要手术干预的复杂性绦虫病极为罕见，通常报道发生在胃肠道的回肠末端区域。本文报告一例因牛带绦虫导致空肠近端穿孔继发腹膜炎的病例。术前评估提示诊断为急性十二指肠溃疡穿孔。尽管在治疗和预后方面没有实际变化，但绦虫仍然是肠道穿孔的一个特殊直接原因，在绦虫病流行地区，应将其列入腹膜炎和急腹症的鉴别诊断清单中。
