Kojima Y, Sakuma H, Izumi R, Nakagawara G, Miyazaki I, Yoshimura H
Gastroenterol Jpn. 1981;16(2):193-6. doi: 10.1007/BF02774394.
A 33 year-old woman was admitted with chief complaint of abdominal pain and high fever. A barium-enema showed serration and a tumor was seen in the proximal ascending colon. At laparotomy, a localized tumor about 5 cm in diameter was located in the proximal portion of the ascending colon. The operation was made according to the ileoceal resection. On the macroscopic examination of the resected specimen, a small hole penetrating into the subserosa of the ascending colon was noticed and a tumor measuring approximately 3 x 1.2 x 1 cm was located under the hole. A female worm, Trichuris trichiura, was found to be harbored in the adjacent site of the lesion. Histopathologic examination revealed granulomatous tissue reaction due to penetrating of Trichuris trichiura. The patient is in good health now 20 months after operation.
一名33岁女性因腹痛和高热为主诉入院。钡剂灌肠显示有锯齿状改变，在升结肠近端可见一个肿瘤。剖腹手术时，在升结肠近端发现一个直径约5厘米的局限性肿瘤。手术按照回盲部切除术进行。在对切除标本进行宏观检查时，注意到升结肠浆膜下层有一个小孔，在小孔下方有一个大小约为3×1.2×1厘米的肿瘤。在病变相邻部位发现一条雌性鞭虫，即 Trichuris trichiura。组织病理学检查显示因鞭虫侵入而出现肉芽肿组织反应。术后20个月，患者目前健康状况良好。
