Limits...
Taenia: An Uninvited Guest.

Shafaghi A, Rezayat KA, Mansour-Ghanaei F, Maafi AA - Am J Case Rep (2015)

Bottom Line: Our efforts at extracting it from the stomach were unsuccessful.At the next visit, her symptoms were alleviated and she was relieved from the chronic pain.We believe that the retrograde migration of the tapeworm into the stomach may be due to low gastric acidity as a result of atrophic gastritis and chronic proton pump inhibitor use.

View Article: PubMed Central - PubMed

Affiliation: Gastroenterology and Liver Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran.

ABSTRACT

Background: Taenia saginata and Taenia solium species are worldwide in distribution, causing bovine and porcine cysticercosis, and taeniasis in humans having the greatest economic and medical importance.

Case report: A 55-year-old woman living in a village around Rasht (northern Iran) was referred to our hospital with a history of chronic abdominal pain and recent dyspepsia and epigastric fullness. According to her clinical history, she was a candidate for an upper gastrointestinal endoscopy. A large tape worm was seen in the stomach. Our efforts at extracting it from the stomach were unsuccessful. The endoscope was withdrawn and therapy with niclosamide was initiated. At the next visit, her symptoms were alleviated and she was relieved from the chronic pain.

Conclusions: We believe that the retrograde migration of the tapeworm into the stomach may be due to low gastric acidity as a result of atrophic gastritis and chronic proton pump inhibitor use.

No MeSH data available.


Related in: MedlinePlus

Fragmented proglottids of tape worm in the stomach.
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4525678&req=5

f2-amjcaserep-16-501: Fragmented proglottids of tape worm in the stomach.

Mentions: A 55-year-old woman living in a village around Rasht (northern Iran) was referred to our hospital with a history of chronic abdominal pain and recent dyspepsia and epigastric fullness. Her symptoms started 2 years before. She was repeatedly visited by her family doctor and others and also took analgesics, antispasmodic drugs, and proton pump inhibitors that achieved partial relief of her complaint. Helicobacter pylori infection was previously treated by a triple-therapy regimen (amoxicillin, clarithromycin and omeprazole) in another center. She was a housekeeper but helped her husband in farming. Her past medical history was unremarkable. She used some different drugs such as dicyclomine and herbal remedies for alleviating her abdominal pain. She was referred to our hospital due to chronic relapsing abdominal pain for further investigations. She was worried about gastrointestinal cancer. According to her clinical history she was a candidate for an upper gastrointestinal endoscopy. A large tape worm was seen in the stomach (Figure 1). Our efforts for extracting it were unsuccessful and lead to fragmentation of proglottids (Figure 2). It quickly returned to its original position in the intestine. The endoscope was withdrawn and therapy with niclosamide was initiated (Video 1).


Taenia: An Uninvited Guest.

Shafaghi A, Rezayat KA, Mansour-Ghanaei F, Maafi AA - Am J Case Rep (2015)

Fragmented proglottids of tape worm in the stomach.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4525678&req=5

f2-amjcaserep-16-501: Fragmented proglottids of tape worm in the stomach.
Mentions: A 55-year-old woman living in a village around Rasht (northern Iran) was referred to our hospital with a history of chronic abdominal pain and recent dyspepsia and epigastric fullness. Her symptoms started 2 years before. She was repeatedly visited by her family doctor and others and also took analgesics, antispasmodic drugs, and proton pump inhibitors that achieved partial relief of her complaint. Helicobacter pylori infection was previously treated by a triple-therapy regimen (amoxicillin, clarithromycin and omeprazole) in another center. She was a housekeeper but helped her husband in farming. Her past medical history was unremarkable. She used some different drugs such as dicyclomine and herbal remedies for alleviating her abdominal pain. She was referred to our hospital due to chronic relapsing abdominal pain for further investigations. She was worried about gastrointestinal cancer. According to her clinical history she was a candidate for an upper gastrointestinal endoscopy. A large tape worm was seen in the stomach (Figure 1). Our efforts for extracting it were unsuccessful and lead to fragmentation of proglottids (Figure 2). It quickly returned to its original position in the intestine. The endoscope was withdrawn and therapy with niclosamide was initiated (Video 1).

Bottom Line: Our efforts at extracting it from the stomach were unsuccessful.At the next visit, her symptoms were alleviated and she was relieved from the chronic pain.We believe that the retrograde migration of the tapeworm into the stomach may be due to low gastric acidity as a result of atrophic gastritis and chronic proton pump inhibitor use.

View Article: PubMed Central - PubMed

Affiliation: Gastroenterology and Liver Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran.

ABSTRACT

Background: Taenia saginata and Taenia solium species are worldwide in distribution, causing bovine and porcine cysticercosis, and taeniasis in humans having the greatest economic and medical importance.

Case report: A 55-year-old woman living in a village around Rasht (northern Iran) was referred to our hospital with a history of chronic abdominal pain and recent dyspepsia and epigastric fullness. According to her clinical history, she was a candidate for an upper gastrointestinal endoscopy. A large tape worm was seen in the stomach. Our efforts at extracting it from the stomach were unsuccessful. The endoscope was withdrawn and therapy with niclosamide was initiated. At the next visit, her symptoms were alleviated and she was relieved from the chronic pain.

Conclusions: We believe that the retrograde migration of the tapeworm into the stomach may be due to low gastric acidity as a result of atrophic gastritis and chronic proton pump inhibitor use.

No MeSH data available.


Related in: MedlinePlus