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直肠穿孔由:一例病例报告。 (你提供的原文表述不太完整规范,正常完整表述应该是“Rectal Perforation Induced by [具体原因] : A Case Report.” 这样翻译会更准确通顺些 )

Rectal Perforation Induced by : A Case Report.

作者信息

Kızıltoprak Nurhilal, Yıldız Ayşe Gökçen, Ercan Gülçin

机构信息

Department of General Surgery, Istanbul Sultan 2. Abdülhamid Han Training and Research Hospital, Istanbul, Turkey.

Department of Pathology, Istanbul Sultan 2. Abdülhamid Han Training and Research Hospital, Istanbul, Turkey.

出版信息

Foodborne Pathog Dis. 2025 Apr 30. doi: 10.1089/fpd.2025.0008.

DOI:10.1089/fpd.2025.0008
PMID:40305344
Abstract

, commonly known as the beef tapeworm, is a prevalent zoonotic cestode with an estimated global prevalence of 60-70 million carriers. This parasite is frequently located in the gastrointestinal tract, and previous reports have described complications such as acute appendicitis, Meckel's diverticulitis, pancreatitis, cholecystitis, liver abscess, intestinal obstruction, and perforation. Intestinal perforation due to parasitic diseases is a rare complication. Surgical complications associated with are uncommon, with few reported cases of bowel perforation. Here, we present the case of a 69-year-old female who was admitted to the emergency department with acute abdominal symptoms. She had experienced abdominal pain and vomiting for 15 days. Her symptoms were accompanied by abdominal distension, reduced bowel movements, and loss of appetite. On physical examination, she had diffuse abdominal tenderness, guarding, and rebound tenderness, raising suspicion of peritonitis. Laboratory tests revealed a white blood cell count of 8,000/mm and an elevated C-reactive protein level of 501 mg/L, indicating an ongoing inflammatory response. Imaging revealed free intra-abdominal air and fluid, suggesting gastrointestinal perforation. During emergency surgery, a perforation in the upper rectum was identified and resected. Pathological examination confirmed the presence of eggs in the intestinal wall. Postoperatively, the patient recovered well and was discharged on the sixth day. This case underscores the need for heightened awareness of parasitic infections as potential causes of acute abdominal conditions. Proper diagnosis and prompt surgical intervention are crucial in managing complications associated with . Preventive measures, including thorough cooking of beef and improved sanitation, are essential to reduce the incidence of such infections.

摘要

牛带绦虫,俗称牛肉绦虫,是一种常见的人畜共患绦虫,全球估计有6000万至7000万携带者。这种寄生虫常位于胃肠道,既往报道描述了诸如急性阑尾炎、梅克尔憩室炎、胰腺炎、胆囊炎、肝脓肿、肠梗阻和穿孔等并发症。寄生虫病导致的肠道穿孔是一种罕见的并发症。与牛带绦虫相关的手术并发症并不常见,报道的肠穿孔病例很少。在此,我们报告一例69岁女性因急性腹部症状入住急诊科的病例。她腹痛和呕吐15天。症状伴有腹胀、排便减少和食欲不振。体格检查时,她有全腹压痛、肌紧张和反跳痛,怀疑有腹膜炎。实验室检查显示白细胞计数为8000/mm,C反应蛋白水平升高至501mg/L,表明存在持续的炎症反应。影像学检查显示腹腔内有游离气体和液体,提示胃肠道穿孔。在急诊手术中,发现并切除了直肠上段的一个穿孔。病理检查证实肠壁中有牛带绦虫卵。术后,患者恢复良好,于第六天出院。该病例强调需要提高对寄生虫感染作为急性腹部疾病潜在病因的认识。正确诊断和及时手术干预对于处理与牛带绦虫相关的并发症至关重要。包括彻底煮熟牛肉和改善卫生条件在内的预防措施对于降低此类感染的发生率至关重要。

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