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KMID : 0356720100260020157
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Journal of the Korean Society of Coloproctology
2010 Volume.26 No. 2 p.157 ~ p.160
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A Case of Intra-abdominal Heterotopic Paragonimiasis Combined with Rectal Cancer
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Kim Soo-Hong
Lee Jae-Im
Oh Seung-Tack
Kim Hyung Jin
Jung Chan-Kwon
Kye Bong-Hyun
Kim Jun-Ki
Kang Won-Kyung
Oh Soon-Nam
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Abstract
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Paragonimus westermani is a lung fluke that is usually found in the lungs, but may be found in unusual locations. A case of omental and mesenteric paragonimiasis was found incidentally during surgical intervention for rectal cancer. A 59-yr-old male patient visited our hospital for low abdominal pain and decreasing stool caliber. He had a history of ingestion of raw freshwater fish and crab. He was diagnosed as having rectal cancer, and a palliative Hartmann’s procedure was performed. During the operation, several seeding nodules were found. Microscopic findings showed numerous paragonimus ova in the resected omental and mesentery. We report a case of heterotopic paragonimiasis in the abdominal cavity after rectal cancer surgery.
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KEYWORD
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Heterotopic paragonimiasis, Paragonimus westermani
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