Lopura Lohide Daniel, Gelan Engida Abebe, Mengiste Daniel Getaw, Yehualawork Solomon Fekadu
Department of Surgery, St. Paul's Hospital Millennium Medical College (SPHMMC), P.O.BOX 1271, Addis Ababa, Ethiopia.
Department of Surgery, Endocrine-Breast and Transplant Surgeon, St. Paul's Hospital Millennium Medical College (SPHMMC), P.O.BOX 1271, Addis Ababa, Ethiopia.
Int J Surg Case Rep. 2025 Feb;127:110974. doi: 10.1016/j.ijscr.2025.110974. Epub 2025 Jan 27.
T. saginata, a global parasite, is still a considerable burden in low-income countries. It is transmitted to humans through the consumption of undercooked/raw beef. Although taeniasis can cause an acute abdomen, taeniasis-induced bowel perforation is rarely encountered, and only a few cases have been reported.
This work has been reported in line with the SCARE criteria.
A 44-year-old male experienced abdominal pain, vomiting, anorexia, and fever over 24 h. He had a 5-month history of mild gastrointestinal symptoms. His clinical picture and imaging findings suspected a viscus perforation. An exploratory laparotomy revealed jejunal perforations with an adult Taenia tapeworm. Postoperatively, significant events occurred.
T. saginata is a common infection in regions with high undercooked/raw beef consumption. In Ethiopia, raw beef consumption is common and is the most likely source of infection in this case. T. saginata infection can cause acute abdomen with intestinal obstruction, but rarely does it induce intestinal perforations. Only a few taeniasis-related bowel perforations necessitating surgical intervention have been reported from Lebanon, Nepal, and northern Iran. This patient may be the only reported case of teniasis-related bowel perforations complication with postoperative fatality, with other cases having uneventful postoperative periods. The cause of taeniasis-related intestinal perforation remains unclear. Bedside qSOFA scoring system can predict death risk in sepsis patients. In septic shock, rapid resuscitation is crucial.
The case report emphasizes the importance of Taenia saginata as a differential diagnosis for intestinal perforation, particularly in endemic regions, and suggests clinical suspicion of taeniasis as a possible cause. Rapid resuscitation and source control are crucial for sepsis patients. The qSOFA scoring system can predict death risk, with a 3 score indicating higher mortality.
牛带绦虫是一种全球性寄生虫，在低收入国家仍然是一个相当大的负担。它通过食用未煮熟/生的牛肉传播给人类。虽然绦虫病可导致急腹症，但由绦虫病引起的肠穿孔很少见，仅有少数病例报道。
本研究已按照SCARE标准进行报告。
一名44岁男性在24小时内出现腹痛、呕吐、厌食和发热症状。他有5个月的轻度胃肠道症状病史。其临床表现和影像学检查结果怀疑有脏器穿孔。剖腹探查发现空肠穿孔并伴有一条成年牛带绦虫。术后发生了重大事件。
牛带绦虫在食用未煮熟/生牛肉比例高的地区是一种常见感染。在埃塞俄比亚，食用生牛肉很普遍，也是该病例最可能的感染源。牛带绦虫感染可导致伴有肠梗阻的急腹症，但很少引起肠穿孔。黎巴嫩、尼泊尔和伊朗北部仅报道了少数需要手术干预的绦虫病相关肠穿孔病例。该患者可能是唯一报告的绦虫病相关肠穿孔并发症且术后死亡的病例，其他病例术后情况良好。绦虫病相关肠穿孔的原因尚不清楚。床边qSOFA评分系统可预测脓毒症患者的死亡风险。在感染性休克中，快速复苏至关重要。
该病例报告强调了牛带绦虫作为肠穿孔鉴别诊断的重要性，特别是在流行地区，并提示临床上应怀疑绦虫病是可能的病因。快速复苏和源头控制对脓毒症患者至关重要。qSOFA评分系统可预测死亡风险，3分表明死亡率较高。
