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A Case of Ectopic Peritoneal Paragonimiasis Mimicking Diverticulitis or Abdominal Abscess
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kim, Min Jae Kim, Sung-han Lee, Sang-Oh Choi, Sang-ho Kim, Yeon Sook Woo, Jun Hee Yoon, Yong Sik Kim, Kyung Whan Cho, Jaeeun Chai, Jong-Yil Chong, Yong Pil |
| Copyright Year | 2017 |
| Abstract | Paragonimiasis is a parasitic disease caused by Paragnonimus species. The primary site of infection is the lung, and extrapulmonary involvement is also reported. When infected with Paragonimus westermani, which is the dominant species in Korea, the central nervous system is frequently involved along with the liver, intestine, peritoneal cavity, retroperitoneum, and abdominal wall. Ectopic paragonimiasis raises diagnostic challenge since it is uncommon and may be confused with malignancy or other inflammatory diseases. Here, we report an ectopic paragonimiasis case initially presented with recurrent abdominal pain. The patient developed abdominal pain 3 times for the previous 3 years and the computed tomography (CT) of the abdomen revealed fluid collection with wall enhancement. Recurrent diverticulitis was initially suspected and part of the ascending colon was resected. However, the specimen showed intact colon wall without evidence of diverticulitis and multiple parasite eggs and granulomas were found instead. The size of about 70 μm, the presence of an operculum and relatively thick egg shell suggested eggs of Paragonimus species. With appropriate exposure history and a positive antibody test, the definitive diagnosis was made as peritoneal paragonimiasis. |
| Starting Page | 313 |
| Ending Page | 317 |
| Page Count | 5 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://parasitol.kr/upload/pdf/kjp-55-3-313.pdf |
| PubMed reference number | 28719956 |
| Alternate Webpage(s) | https://doi.org/10.3347/kjp.2017.55.3.313 |
| DOI | 10.3347/kjp.2017.55.3.313 |
| Journal | The Korean journal of parasitology |
| Volume Number | 55 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Abdominal Pain Abdominal wall structure Ascending colon CNS disorder Confusion Dental caries Diverticulitis Ectopic Graft Egg Food Product Granuloma Intestinal Wall Tissue Liver Abscess Neoplasms Ovum Paragonimiasis Paragonimus westermani Parasitic Diseases Patients Peritoneal Cavity Peritoneal Fluid (body substance) Peritoneum Retroperitoneal Space Structure of parenchyma of lung X-Ray Computed Tomography |
| Content Type | Text |
| Resource Type | Article |
