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皮下裂头蚴病伪装成软组织肿瘤:一例报告

Subcutaneous sparganosis mimicking soft tissue tumor: a case report.

作者信息

Hwang Jung-Mo, Hwang Deuk-Soo, Kang Chan, Lee Jae-Won

机构信息

Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, South Korea,

出版信息

Int Med Case Rep J. 2019 Feb 19;12:47-50. doi: 10.2147/IMCRJ.S192764. eCollection 2019.

Abstract

BACKGROUND

Sparganosis is a rare parasitic disease of humans caused by invasion of human tissue by plerocercoid tapeworm larvae (spargana) of the genus species. This parasite commonly invades subcutaneous tissue but can appear in any tissue of the body.

CASE PRESENTATION

Here, we report a case of a 33-year-old woman presented with a migrating painful swelling and erythema in right thigh for 6 months, which was initially misdiagnosed as soft tissue tumor. Magnetic resonance imaging revealed a multiple elongated tubular tracts in the medial aspect of right thigh, from which a long, wrinkled, whitish worm was surgically removed. The parasite was histopathologically identified as .

CONCLUSION

Sparganosis is rare and physicians have little experience, so if suspected, should be included among the list of differential diagnosis and special serological test should be recommended before surgery.

摘要

背景

裂头蚴病是一种罕见的人类寄生虫病,由 属物种的裂头绦虫幼虫(裂头蚴)侵入人体组织引起。这种寄生虫通常侵入皮下组织,但可出现在身体的任何组织中。

病例报告

在此,我们报告一例33岁女性病例,其右大腿出现游走性疼痛性肿胀和红斑6个月,最初被误诊为软组织肿瘤。磁共振成像显示右大腿内侧有多个细长的管状条索,从中手术切除了一条长的、有皱纹的白色蠕虫。经组织病理学鉴定,该寄生虫为 。

结论

裂头蚴病罕见,医生经验不足,因此如果怀疑该病,应列入鉴别诊断清单,并建议在手术前进行特殊血清学检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/167a/6385745/54ab82a3063b/imcrj-12-047Fig1.jpg

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