绦虫感染致急腹症一例

Acute abdomen caused by infection of Taenia:a case report

绦虫病是由猪带绦虫、牛带绦虫和亚洲带绦虫寄生于人体肠道所引起的食源性人兽共患寄生虫病。人类是唯一的最终宿主。该文报道一例绦虫感染致急腹症患者的诊治经过。该例28岁男性患者主要表现为腹痛,入院后行血常规、生化、影像学等检查,阑尾炎表现不典型,考虑其他原因的急腹症,经禁饮、禁食、灌肠、抗炎、补液等保守治疗后,患者恢复排便排气,腹痛明显缓解,由患者排出的粪便中见绦虫的带节片,确诊为绦虫感染致不完全性肠梗阻,诊断明确后予阿苯达唑驱虫治疗并顺利出院。该例的诊治过程提示,临床医师应提高对肠道寄生虫病的认识,拓宽诊断思路,减少漏诊和误诊。

Taeniasis is a foodborne zoonotic parasitic disease caused by parasitism of Taenia solium,Taenia saginata and Taenia asiatica in the human intestine.Humans are the only ultimate hosts.In this article,the diagnosis and treatment of a patient with acute abdomen caused by taeniasis were reported.The 28-year old male patient was mainly manifested as abdominal pain.Blood routine,biochemistry,imaging and other examinations after admission excluded the possibility of appendicitis and the possibility of acute abdomen induced by other causes was considered.After conservative treatment including abstinence from drinking and eating,enema,anti-inflammation and fluid replacement,the patient restored defecation and flatus,and abdominal pain was significantly mitigated.The diagnosis of incomplete intestinal obstruction caused by infection of Taenia was confirmed by the segments of Taenia in the stool sample.The patient was given with albendazole and successfully discharged from hospital.This case suggests that clinicians should deepen the understanding of intestinal parasitic diseases,broaden diagnostic thinking,and reduce missed diagnosis and misdiagnosis.