Bahon J, Poirriez J, Creusy C, Edriss A N, Laget J P, Dei Cas E
Laboratoire d'Anatomie et de Cytologie Pathologiques, Faculté Libre de Médecine, Université Catholique de Lille, France.
J Clin Pathol. 1997 Jul;50(7):615-6. doi: 10.1136/jcp.50.7.615.
Heavy Trichuris trichiura infestation is rare in developed countries, and complications requiring surgical intervention have been described rarely in human trichuriasis. A case of colonic obstruction and perforation related to heavy whip-worm infection is described in an 84 year old woman. The woman was admitted to hospital because of a chest infection. Two days after admission she suffered nausea and vomiting followed a day later by bowel stoppage. Laparotomy indicated intestinal obstruction by a tumour. A partial right sided ileocolectomy was performed. Pathological examination of the resected bowel revealed heavy infestation with T trichiura causing a pseudotumour following a proliferative inflammatory response.
在发达国家，严重的鞭虫感染较为罕见，在人类鞭虫病中，需要手术干预的并发症也鲜有报道。本文描述了一名84岁女性因重度鞭虫感染导致结肠梗阻和穿孔的病例。该女性因胸部感染入院。入院两天后，她出现恶心、呕吐，一天后出现肠梗阻。剖腹探查显示有肿瘤导致肠梗阻。遂行右侧部分回肠结肠切除术。对切除肠段的病理检查显示，有大量鞭虫感染，在增生性炎症反应后形成假肿瘤。
