J Korean Soc Coloproctol.
2010 Apr;26(2):157-160. 10.3393/jksc.2010.26.2.157.
A Case of Intra-abdominal Heterotopic Paragonimiasis Combined with Rectal Cancer
- Affiliations
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- 1Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea. stoh@catholic.ac.kr
- 2Department of Radiology, The Catholic University of Korea College of Medicine, Seoul, Korea.
- 3Department of Pathology, The Catholic University of Korea College of Medicine, Seoul, Korea.
- KMID: 2198817
- DOI: http://doi.org/10.3393/jksc.2010.26.2.157
Abstract
- Paragonimus westermani is a lung fluke that is usually found in the lungs, but may be found in unusual locations. A case of omental and mesenteric paragonimiasis was found incidentally during surgical intervention for rectal cancer. A 59-yr-old male patient visited our hospital for low abdominal pain and decreasing stool caliber. He had a history of ingestion of raw freshwater fish and crab. He was diagnosed as having rectal cancer, and a palliative Hartmann's procedure was performed. During the operation, several seeding nodules were found. Microscopic findings showed numerous paragonimus ova in the resected omental and mesentery. We report a case of heterotopic paragonimiasis in the abdominal cavity after rectal cancer surgery.
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