case of pseudotumorous form of ascaris

A 35-year-old woman presented with lower abdominal pain and amenorrhoea. CT showed a thick walled lobulated mass with Ascaris adjacent to caecum along with the presence of a left ovarian mass. The peroperative findings were a tubular mass with central tunneling containing an Ascaris lumbricoides. Left ovary showed a haemorrhagic cyst. Biopsy of the mass showed acute on chronic granulomatous inflammation and the worm was found to be female. This was a rare case of Ascaris lumbricoides presenting as a pseudotumorous mass

Hypereosinophilia and abdominopulmonary gnathostomiasis.

A 16-year-old Thai male presented with sudden onset severe epigastric and right upper quadrant pain, fever (39 degrees C), chills and malaise. He gave no history of underlying disease, migratory swelling or urticarial skin rash. He had a history of frequently eating raw pork. Physical examination revealed a soft abdomen with markedly tender hepatomegaly. His blood count showed extreme leukocytosis with hypereosinophilia. After admission he developed a non-productive cough with left sided chest pain, a chest x-ray showed a left pleural effusion. Serological findings were positive for Gnathostoma larval antigen but not Fasciola antigen. The patient recovered completely after albendazole treatment. His clinical presentation is compatible with abdominopulmonary hypereosinophilic syndrome or visceral larva gnathostomiasis. The presented case is interesting not only for physicians who work in endemic areas of gnathostomiasis but also for clinicians who work in travel medicine clinics in developed countries, to consider abdominopulmonary gnathostomiasis when patients present with the signs and symptoms of visceral larva migrans.

Ectopic Migration of an Adult Heartworm in a Dog with Dirofilariasis (Case Report)

A 3-yr-old female mongrel dog was referred to the Veterinary Teaching Hospital of Chungnam National University in the Republic of Korea. An adult heartworm, Dirofilaria immitis, was found in the abdominal cavity of the dog during spaying. Dirofilariasis in this dog was also diagnosed by modified Knott's test, ELISA test, and PCR analysis. The present case is the first report on the migration of an adult dog heartworm to the abdominal cavity of a dog in the Republic of Korea.

Isolated hydatid cysts at unusual sites

In this case report we highlight the difficulty in clinical diagnosis of hydatid disease at unusual sites. In 12 years 4 months period six cases of hydatid cyst found at unusual sites. This included two cases involving breast [one male and other female], and one each involving spleen, omentum, neck and thigh muscles. All were removed at surgery without any difficulty

Cutaneous larva migrans--a case report.

Cutaneous larva migrans or creeping eruption is an uncommon parasitic skin infection caused by the filariform larvae of dog or cat hook worms. We report a case of larva migrans on the anterior abdominal wall, in a 52 year old lady, who did gardening as a hobby.

Diagnosis of abdominal hydatid cyst disease: the role of ultrasound and ultrasound-guided fine needle aspiration cytology

To retrospectively analyze the role of ultrasound [US] imaging and US-guided fine needle aspiration cytology in the diagnosis and management of abdominal hydatid cyst disease [HCD]. Subjects and The medical records of 55 diagnosed cases of HCD seen between January 1986 and December 2000 at Mubarak Al-Kabeer Hospital and Al-Amiri Hospital in Kuwait were reviewed for demographic and clinical data, including radiology and serology. The US findings of the patients were classified into four types as follows: type I: single or multiple well-defined cysts, with or without detached or collapsed wall and with or without echogenic contents; type II: single or multiple cysts with peripheral cysts, with or without echogenic contents; type III: solid or semisolid lesions, and type IV: cysts with calcified walls. The overall accuracy of US in the diagnosis of HCD was 80% [44/55 cases]. US examination was suggestive of HCD type I, 16/19 [84%], type II, 21/23 [91%], type III, 3/8 [38%], and type IV, 4/5 [80%]. For the 11 remaining undiagnosed cases, US was useful for localizing the lesions for US-guided fine needle aspiration cytology. It established the diagnosis in all the 11 cases, without precipitating complications. US alone was valuable for diagnosing and localizing HCD in the abdomen except for solid-type lesions. US-guided fine needle aspiration cytology was useful in localizing and establishing the diagnosis of HCD in the cases where US alone was ineffective

Angiostrongilose abdominal: patologia cirúrgica de importância regional / Abdominal angiostrongylosis: surgical pathology of reginal importance

Os autores revisaram 18.361 biópsias e peças cirúrgicas de patologia digestiva não-tumoral. Em 1.064 peças cirúrgicas do trato digestivo inferior foram observados 19 casos de angiostrongilose abdominal (AA). Relacionando estes casos com as intervenções cirúrgicas por complicações secundárias da doença de Crohn (DC), colite ulcerativa (CU) e tuberculose intestinal (TI), observou-se que a freqüência de AA em relação às patologias cirúrgicas citadas pode ser considerada como parasitose de importância cirúrgica regional

Epidemiological characteristics of abdominal hydatidosis among adult surgery patients in the Al-Jahra district in Kuwait

Dogs are kept in the Al-Jahra area as part of a traditional lifestyle based on raising sheep. Dogs and sheep are reservoirs for Echinoccocus granulosus, a parasite causing hydatidosis in humans. Thirty- seven cases seen and/or treated at the Al-Jahra Hospital, Kuwait between 1991-96 were reviewed. The female/male ratio of these cases was 4:1 and the mean age was 43.7 years. In 27% of cases, silent cysts were discovered inadvertently, and did not receive any treatment. In most cases where surgery was performed, cysts were excised with or without drainage of the cavity, and only 7 cases developed post operative complications. On average, patients with a drain stayed in hospital for a relatively longer period and had a higher likelihood of complications than those without. The study indicated that excision of the cyst without drainage offered a better quality of recovery for patients. Better public health measures need to be taken in areas where livestock are kept near human habitations

Angiostrongilosis abdominal: primer caso humano encontrado en Argentina / Abdominal angiostrongylosis: first human case reported in Argentina

Se describe el primer enfermo de angiostrongilosis abdominal en Argentina, haciendo referencia al desarrollo de la enfermedad y concediéndose gran importancia a la fisiopatogenia y, en base de ésta, al aporte de una nueva concepción terapéutica