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Bhandari R, Chamlagain R, Sutanto E, Adam H, Dhungana A, Ali AA, Piya B, Ubaid A, Neumayr A. Intestinal Perforation Due to Adult Tapeworm of Taenia: A Case Report and Review of the Literature. CLINICAL MEDICINE INSIGHTS: CASE REPORTS 2022; 15:11795476211072670. [PMID: 35125899 PMCID: PMC8814982 DOI: 10.1177/11795476211072670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 12/03/2021] [Indexed: 11/18/2022] Open
Abstract
Taeniasis is an intestinal helminth infection due to adult tapeworms belonging to the genus Taenia. Taeniasis remains a major burden in low-income countries in Asia. We present a case of intestinal perforation caused by adult tapeworm of Taenia in a 50-year-old Nepali male. The patients presented to the hospital with severe abdominal pain and intermittent vomiting. Following clinical presentations and imaging features, gastrointestinal perforation was suspected. Surgical removal of adult tapeworm of Taenia, suspected to be T. saginata or T. asiatica, was carried out during exploratory laparotomy, which was followed by an uneventful postoperative period. In addition to case presentation, we systematically review published case reports on taeniasis-related intestinal perforation. A learning point from this case is clinician should maintain a clinical suspicion of taeniasis as a possible cause of intestinal perforation in endemic areas.
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Affiliation(s)
- Raju Bhandari
- Department of General and GI Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal.,Department of Surgery, Indira Gandhi Memorial Hospital, Male, Maldives
| | - Rajan Chamlagain
- Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
| | - Edward Sutanto
- Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA
| | - Hammad Adam
- Department of General and GI Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal.,Department of Surgery, Indira Gandhi Memorial Hospital, Male, Maldives
| | - Anil Dhungana
- Department of Surgery, Indira Gandhi Memorial Hospital, Male, Maldives
| | - Aishnath Azna Ali
- Department of Surgery, Indira Gandhi Memorial Hospital, Male, Maldives
| | - Bimochan Piya
- Department of Surgery, Indira Gandhi Memorial Hospital, Male, Maldives
| | - Abdulla Ubaid
- Department of Surgery, Indira Gandhi Memorial Hospital, Male, Maldives
| | - Andreas Neumayr
- Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland.,University of Basel, Basel, Switzerland.,Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Australia
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