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DOI: 10.1055/s-2005-921073
Ileal Ascariasis Detected by Magnified Terminal Ileoscopy
A. Trecca, M. D.
Operative Units of Endoscopy and Gastroenterology ”Fabio Di Giovambattista“
Via Reno, 30
00198 Rome
Italy
Fax: + 39-06-8689-7737
Email: arimecme@tin.it
Publication History
Publication Date:
10 November 2005 (online)
Figure 1 A 45-year-old Peruvian nun was referred to us for investigation of severe weight loss (more than 9 kg in 1 week) and asthenia. Esophagogastroduodenoscopy and total colonoscopy were negative, but terminal ileoscopy revealed an isolated finding of an enlarged submucosal follicle.
Figure 2 A biopsy was performed and suddenly two white worms became apparent.The view of the terminal ileum obtained using the Fujinon EC-410 CM magnifying colonoscope (Fujinon Co., Omiya, Japan) made it possible to biopsy one of the worms, and histological investigation revealed ileal ascariasis. The patient underwent substantial antibiotic therapy with a complete remission of weight loss and anemia within one week.
A. Trecca, M. D.
Operative Units of Endoscopy and Gastroenterology ”Fabio Di Giovambattista“
Via Reno, 30
00198 Rome
Italy
Fax: + 39-06-8689-7737
Email: arimecme@tin.it
A. Trecca, M. D.
Operative Units of Endoscopy and Gastroenterology ”Fabio Di Giovambattista“
Via Reno, 30
00198 Rome
Italy
Fax: + 39-06-8689-7737
Email: arimecme@tin.it
Figure 1 A 45-year-old Peruvian nun was referred to us for investigation of severe weight loss (more than 9 kg in 1 week) and asthenia. Esophagogastroduodenoscopy and total colonoscopy were negative, but terminal ileoscopy revealed an isolated finding of an enlarged submucosal follicle.
Figure 2 A biopsy was performed and suddenly two white worms became apparent.The view of the terminal ileum obtained using the Fujinon EC-410 CM magnifying colonoscope (Fujinon Co., Omiya, Japan) made it possible to biopsy one of the worms, and histological investigation revealed ileal ascariasis. The patient underwent substantial antibiotic therapy with a complete remission of weight loss and anemia within one week.