Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
BMJ Case Rep. 2021 Jul 22;14(7):e244352. doi: 10.1136/bcr-2021-244352.
Infestation of any dead or necrotic tissues by the larvae of flies (maggots) is myiasis. This form of habitation is not restricted to any particular tissues in the body and can occur anywhere. However, myiasis at the surgical stoma site is very rare. We present a 55-year-old woman diagnosed with metastatic carcinoma of the oesophagus who underwent feeding gastrostomy (FG). The patient later presented with worms at the FG site. We removed the FG tube, cleared all the maggots, thoroughly cleaned the wound and placed a new FG tube. Although its occurrences have been reported enough in medical history, there are only two documented cases of percutaneous endoscopic gastrostomy stoma site myiasis. Hence, we present the first case in the literature of cutaneous myiasis around an FG stoma site.
蝇幼虫（蛆）寄生在任何死亡或坏死组织中即为蝇蛆病。这种寄居形式不受限于身体的任何特定组织，可发生于任何部位。然而，外科造口部位的蝇蛆病非常罕见。我们报告了 1 例 55 岁女性，患有食管转移癌，行胃造瘘术（FG）。患者后来 FG 部位出现了虫子。我们取出 FG 管，清除所有蛆虫，彻底清洗伤口并放置新的 FG 管。尽管在医学史上已有足够多的相关报道，但经皮内镜胃造瘘术（PEG）造口部位蝇蛆病仅有两例有记录。因此，我们报告了文献中首例 FG 造口部位皮肤蝇蛆病。
