Ascariasis Presenting as Hematoma in the Sigmoid Mesocolon: A Case Report
김지은, 배경은, 김현정, 배병노, 이지혜, 강미진, 김지영, 김재형,
소속 상세정보
김지은 ( Kim Ji-Eun )
Inje University Sanggye Paik Hospital Department of Radiology
배경은 ( Bae Kyung-Eun )
Inje University Sanggye Paik Hospital Department of Radiology
김현정 ( Kim Hyun-Jung )
Inje University Sanggye Paik Hospital Department of Pathology
배병노 ( Bae Byung-Noe )
Inje University Sanggye Paik Hospital Department of Surgery
이지혜 ( Lee Ji-Hae )
Inje University Sanggye Paik Hospital Department of Radiology
강미진 ( Kang Mi-Jin )
Inje University Sanggye Paik Hospital Department of Radiology
김지영 ( Kim Ji-Young )
Inje University Sanggye Paik Hospital Department of Radiology
김재형 ( Kim Jae-Hyung )
Inje University Sanggye Paik Hospital Department of Radiology
Abstract
Ascariasis is an intestinal disease caused by Ascaris lumbricoides. Most patients with ascariasis are asymptomatic; however, the presence of many larvae in the bowel can cause gastrointestinal complications, such as intestinal obstruction, obstructive jaundice, cholangitis, cholecystitis, and pancreatitis. Herein, we report a case of ascariasis presenting as hematoma and active bleeding in the sigmoid mesocolon of a 74-year-old man on computed tomography (CT). Sigmoid colon perforation was also detected on follow-up CT. Laparoscopic low anterior resection was performed; there was a large hematoma in the sigmoid mesocolon. Roundworms were microscopically identified in the mesenteric adipose tissue. The clinical and CT findings of this unusual presentation of ascariasis revealed serial complications during parasite migration from the intestinal lumen to the peritoneal cavity.
키워드
Ascariasis; Hematoma; Sigmoid Mesocolon; Bowel Perforation
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