最近,单条蛔虫和鞭虫感染的报告有所增多,因此,仅由粪便检查诊断少数雄虫感染十分困难。现报告结肠镜检查诊断的病例。 病例系65岁的日本女性农民,因右下腹痛入院。体检除右下腹轻度触痛外,余均正常。反复粪检无虫卵、寄生虫和隐血。X线平片、腹部超声和钡剂灌肠检查无异常发现。结肠镜检查发现盲肠水肿的粘膜内有线形寄生虫。取出虫体,经肉眼和显微镜检查为雄性鞭虫成虫。此后病人症状迅速消失。虽用甲苯达唑100mg,每日2次,共3天,以根除可能残留的鞭虫,但在治疗期间或治疗后,粪便中未发现鞭虫。 Recently, there has been an increase in reports of single roundworm and whipworm infections, so it is very difficult to diagnose a few male infestations only by stool examination. Now report the diagnosis of colonoscopy cases. The case was a 65-year-old Japanese female farmer, admitted to the hospital for a right lower quadrant pain. Physical examination except right lower abdomen mild tenderness, I was normal. Repeated fecal insects eggs, parasites and occult blood. X-ray, abdominal ultrasound and barium enema without abnormal findings. Colonoscopy revealed a linear parasite in the mucocutaneous edema. The worms were removed and examined by naked eyes and microscopy for male whipworm adults. Since then the patient’s symptoms disappear rapidly. Although mebendazole 100mg, 2 times a day for 3 days to eradicate possible residual whipworm, but in the treatment or after treatment, did not find whipworm in the stool.