Roh Chul Kyu, Jung Min Jung
Department of Surgery, Ajou University School of Medicine, Suwon, South Korea.
Department of Pathology, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Ann Med Surg (Lond). 2021 Aug 23;69:102754. doi: 10.1016/j.amsu.2021.102754. eCollection 2021 Sep.
Paragonimiasis, lung fluke disease caused by infection with species, is a food-borne parasitic zoonosis. The overriding symptoms of infection include chronic cough, shortness of breath, and pleuritic pain. Extrapulmonary paragonimiasis caused by aberrant parasitic migration is known to occur in a variety of sites such as the brain, abdominal wall, and intraperitoneal cavity. Ectopic paragonimiasis is an uncommon disease that presents with a few clinical manifestations, which makes it difficult to diagnose and treat.
A 47-year-old man with an unremarkable medical and surgical history presented with a peritoneal lesion that was discovered incidentally on abdominal computed tomography during routine health screening. The patient did not exhibit any associated symptoms such as abdominal pain. The radiologic diagnosis was a gastric duplication cyst and we performed laparoscopic excision of the peritoneal mass. Histopathological examination revealed paragonimiasis, and the result of the skin test for paragonimiasis was positive. The patient was treated with praziquantel.
The diagnosis of ectopic peritoneal paragonimiasis remains challenging due to inexperience, misdiagnosis, and its rarity. Clinicians should bear in mind that an intra-abdominal mass may be related to a parasitic infection. The detection of the ova of parasites in sputum and biopsy specimens may be difficult due to an insufficient amount.
Clinicians need to thoroughly take the patient's history and clinically suspect parasitic infections. Laparoscopic resection of this rare mass is safe, feasible, and allows for rapid recovery.
肺吸虫病是由 种感染引起的肺吸虫病，是一种食源性寄生虫人畜共患病。 感染的主要症状包括慢性咳嗽、呼吸急促和胸膜炎性疼痛。由异常寄生虫迁移引起的肺外肺吸虫病已知发生在多种部位，如脑、腹壁和腹腔。异位肺吸虫病是一种罕见疾病，临床表现较少，这使得其诊断和治疗都很困难。
一名47岁男性，既往无明显内科及外科病史，在常规健康筛查的腹部计算机断层扫描中偶然发现腹膜病变。患者未表现出任何相关症状，如腹痛。放射学诊断为胃重复囊肿，我们对腹膜肿块进行了腹腔镜切除。组织病理学检查显示为肺吸虫病，肺吸虫病皮肤试验结果为阳性。患者接受了吡喹酮治疗。
由于经验不足、误诊以及其罕见性，异位腹膜肺吸虫病的诊断仍然具有挑战性。临床医生应牢记，腹腔内肿块可能与寄生虫感染有关。由于痰液和活检标本中寄生虫卵数量不足，可能难以检测到。
临床医生需要全面了解患者病史并临床怀疑寄生虫感染。腹腔镜切除这种罕见肿块是安全、可行的，并且能使患者快速康复。
