Abstract
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.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bundy D. A., Cooper E. S. Trichuris and trichuriasis in humans. Adv Parasitol. 1989;28:107–173. doi: 10.1016/s0065-308x(08)60332-2. [DOI] [PubMed] [Google Scholar]
- Fishman J. A., Perrone T. L. Colonic obstruction and perforation due to Trichuris trichiura. Am J Med. 1984 Jul;77(1):154–156. doi: 10.1016/0002-9343(84)90452-2. [DOI] [PubMed] [Google Scholar]
- Kappus K. D., Lundgren R. G., Jr, Juranek D. D., Roberts J. M., Spencer H. C. Intestinal parasitism in the United States: update on a continuing problem. Am J Trop Med Hyg. 1994 Jun;50(6):705–713. doi: 10.4269/ajtmh.1994.50.705. [DOI] [PubMed] [Google Scholar]
- Kerrigan K. R. Ileo-colic intussusception complicating heavy Trichuris trichiura infection. Trop Doct. 1991 Jul;21(3):134–135. doi: 10.1177/004947559102100319. [DOI] [PubMed] [Google Scholar]
- Kojima Y., Sakuma H., Izumi R., Nakagawara G., Miyazaki I., Yoshimura H. A case of granuloma of the ascending colon due to penetration of Trichuris trichiura. Gastroenterol Jpn. 1981;16(2):193–196. doi: 10.1007/BF02774394. [DOI] [PubMed] [Google Scholar]
- MacDonald T. T., Choy M. Y., Spencer J., Richman P. I., Diss T., Hanchard B., Venugopal S., Bundy D. A., Cooper E. S. Histopathology and immunohistochemistry of the caecum in children with the Trichuris dysentery syndrome. J Clin Pathol. 1991 Mar;44(3):194–199. doi: 10.1136/jcp.44.3.194. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Russo E. M., Bontempini L. Considerazioni su di un caso raro di linfangectasia intestinale associata a infestazione massiva da Trichuris trichiuria con studio bioptico della mucosa intestinale. Pathologica. 1981 Sep-Oct;73(1027):811–815. [PubMed] [Google Scholar]