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以肠梗阻为表现的粪类圆线虫1例报道并文献复习

王本贤 陈晓琴 周力

中国伤残医学Issue(10):19-21,22,4.
中国伤残医学Issue(10):19-21,22,4.

以肠梗阻为表现的粪类圆线虫1例报道并文献复习

Strongyloides stercoralis infection presenting asintestinal obstruction:A case report with review of literature

王本贤 1陈晓琴 2周力2

作者信息

  • 1. 河南省周口市中医院消化内科,河南周口 466000
  • 2. 贵州省贵阳医学院附院消化内科
  • 折叠

摘要

Abstract

Objective:To investigate the clinical characteristics of strongyloides stercoralis infection presenting as intestinal obstruc -tion, and improving the diagnosis and treatment of clinicians on strongyloides stercoralis infection .Methods:A cases of our hospital which shows the strongyloides stercoralis infection presenting as intestinal obstruction were studied and the similar literature were reviewed .Re-sutl s:One 40~year~old male patien ,with the main complaints as vomiting, nausea ,abdominal pain and rileus, were referred to our hos -pital for further evaluation .Abdominal computed tomography ( CT ) revealed the imaging features of the intestinal obstruction .During gastroduodenoscopy , miliary granulation hyperplasia were seen in duodenum and proximal jejunum of the patient .The diagnosis of strongy-loides stercoralis infection was finally confirmed by biopsy of gastrointestinal mucous .Abdominal pain has improved after aral Albendazole 400 mg twice daily for 7 days and no recurrence until now .Conclusion:Strongyloides stercoralis infection presenting as intestinal obstruc-tion representet a rare condition and easily be misdiagnosed .Careful collection of medical history , numerous pokes for stool examination , gastroduodenoscopy and pathological examinations , especially better understanding of the exceptional manifestations , could help to mini-mize misdiagnosis of sarcoidosis.

关键词

粪类圆线虫/肠梗阻

Key words

Strongyloides stercoralis infection/Intestinal obstruction

分类

医药卫生

引用本文复制引用

王本贤,陈晓琴,周力..以肠梗阻为表现的粪类圆线虫1例报道并文献复习[J].中国伤残医学,2014,(10):19-21,22,4.

中国伤残医学

1673-6567

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