Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA,
Dig Dis. 2019;37(6):518-520. doi: 10.1159/000499874. Epub 2019 Jun 14.
An infection with Enterobius vermicularis (pinworm) commonly affects the gastrointestinal (GI) tract. The ectopic localization of an enterobius infectious is rare, especially in the liver. We report the case of a 37-year-old man who presented to the gastroenterology clinic with abdominal pain and was found to have elevated transaminases. Workup for acute/chronic liver disease was unrevealing. He underwent endoscopic evaluation showing a live pinworm in the colon. He was treated with albendazole with improvement in GI symptoms and resolution of his transaminitis. There are scarce reports in the literature describing pathognomonic, clinical, imaging, and laboratory findings for pinworm infection. Here, we attempt to review the literature for hepatic involvement with an enterobius infection and discuss the findings via this case.
感染蠕形住肠线虫（蛲虫）通常会影响胃肠道（GI）。蛲虫的异位定位是罕见的，特别是在肝脏。我们报告了一例 37 岁男性，因腹痛就诊于消化科，发现转氨酶升高。急性/慢性肝病的检查结果无明显异常。他接受了内镜检查，显示结肠内有活的蛲虫。他接受了阿苯达唑治疗，胃肠道症状改善，转氨酸升高恢复正常。文献中很少有描述蛲虫感染的特征性、临床、影像学和实验室发现的报道。在这里，我们试图通过这个病例来复习有关肝蚴虫感染的文献，并讨论相关发现。
