Mariani P, Magliocca F M, Cipolletta E, Orefei P, Pulvirenti S, Businco M L, Bonamico M
Istituto di Clinica Pediatrica, Università degli Studi di Roma La Sapienza.
Minerva Pediatr. 1993 Dec;45(12):523-7.
The case of a six-year-old girl suffering from recurrent abdominal pain is reported. On the basis of the laboratory tests and a number of other clinical investigations, the diagnosis of ascaridiasis was made. At scanning electron microscopy the ultrastructural study of the bioptic fragments obtained during endoscopy showed peculiar lesions of the gastric and duodenal mucosa. We speculate that this unusual picture may be due to the ascaris. These lesions, described for the first time in the literature to our knowledge, were represented by the loss of the apical portion of some cells. Differential diagnosis of recurrent abdominal pain is discussed.
报告了一名患有复发性腹痛的六岁女孩的病例。根据实验室检查和其他一些临床检查，诊断为蛔虫病。在扫描电子显微镜下，对内镜检查期间获取的活检碎片进行的超微结构研究显示胃和十二指肠黏膜有特殊病变。我们推测这种不寻常的情况可能是由蛔虫引起的。据我们所知，这些病变在文献中首次被描述，表现为一些细胞顶端部分的缺失。本文讨论了复发性腹痛的鉴别诊断。
