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目的:了解以肠梗阻为表现的粪类圆线虫的临床特点,以提高诊断及处理水平。方法:对贵阳医学院附院消化内科的1例以肠梗阻为表现的粪类圆线虫的病例进行研究,结合以往国内外相关报告进行分析。结果:男性患者,40岁,以“恶心,呕吐,腹痛,肛门停止排便排气”来就诊,影像学检查发现有肠梗阻征象,内镜下十二指肠、近端空肠多发米粒样增生,经空肠、十二指肠多处活检发现腺上皮内见类圆线虫虫体。予阿苯达唑400mg口服后症状改善,随访至今无异常。结论:以肠梗阻为表现的粪类圆线虫是少见的,详细的病史询问、反复的粪便检查和内镜及病理活检,特别是对类圆线虫病特殊表现的充分认识,可有助于减少误诊和漏诊。
OBJECTIVE: To understand the clinical features of stool worms characterized by intestinal obstruction in order to improve the level of diagnosis and treatment. Methods: A case of stool nematode infected with ileus was studied in the Department of Gastroenterology, the Affiliated Hospital of Guiyang Medical College, combining with previous reports from home and abroad. Results: The male patient, aged 40, was referred to “nausea, vomiting, abdominal pain and anal defecation exhaust”. Imaging examination revealed signs of intestinal obstruction. Endoscopic duodenal and proximal jejunal multiple rice-like Proliferation, the jejunum, multiple duodenal biopsy found within the glandular nematode worm body. Albendazole 400mg orally improved symptoms, follow-up so far no abnormalities. CONCLUSIONS: Staphylococcus neoformans, which is characterized by intestinal obstruction, is uncommon and detailed medical history queries, repeated stool examinations, and endoscopic and biopsy findings, especially adequate knowledge of the specific manifestations of the disease may help to reduce Misdiagnosis and missed diagnosis.