CAJ | 학술논문

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400 mg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。
목적：료해이장경조위표현적분류원선충적림상특점，이제고진단급처리수평。방법：대귀양의학원부원소화내과적1례이장경조위표현적분류원선충적병례진행연구，결합이왕국내외상관보고진행분석。결과：남성환자，40세，이“악심，구토，복통，항문정지배편배기“래취진，영상학검사발현유장경조정상，내경하십이지장、근단공장다발미립양증생，경공장、십이지장다처활검발현선상피내견류원선충충체。여아분체서400 mg구복후증상개선，수방지금무이상。결론：이장경조위표현적분류원선충시소견적，상세적병사순문、반복적분편검사화내경급병리활검，특별시대류원선충병특수표현적충분인식，가유조우감소오진화루진。
Objective:To investigate the clinical characteristics of strongyloides stercoralis infection presenting as intestinal obstruc -tion, and improving the diagnosis and treatment of clinicians on strongyloides stercoralis infection .Methods:A cases of our hospital which shows the strongyloides stercoralis infection presenting as intestinal obstruction were studied and the similar literature were reviewed .Re-sutl s:One 40~year~old male patien ,with the main complaints as vomiting, nausea ,abdominal pain and rileus, were referred to our hos -pital for further evaluation .Abdominal computed tomography ( CT ) revealed the imaging features of the intestinal obstruction .During gastroduodenoscopy , miliary granulation hyperplasia were seen in duodenum and proximal jejunum of the patient .The diagnosis of strongy-loides stercoralis infection was finally confirmed by biopsy of gastrointestinal mucous .Abdominal pain has improved after aral Albendazole 400 mg twice daily for 7 days and no recurrence until now .Conclusion:Strongyloides stercoralis infection presenting as intestinal obstruc-tion representet a rare condition and easily be misdiagnosed .Careful collection of medical history , numerous pokes for stool examination , gastroduodenoscopy and pathological examinations , especially better understanding of the exceptional manifestations , could help to mini-mize misdiagnosis of sarcoidosis.