A Case of Intra-abdominal Heterotopic Paragonimiasis Combined with Rectal Cancer.

, Kim, Soo Hong; , Kim, Hyung Jin; , Lee, Jae Im; , Kye, Bong Hyeon; , Oh, Soon Nam; , Jung, Chan Kwon; , Kang, Won Kyung; , Kim, Jun Gi; , Oh, Seong Taek

doi:2010.26.2.157

Case Report

Journal of the Korean Society of Coloproctology 2010;26(2):157-160.
DOI: https://doi.org/10.3393/jksc.2010.26.2.157

A Case of Intra-abdominal Heterotopic Paragonimiasis Combined with Rectal Cancer.

Kim, Soo Hong , Kim, Hyung Jin , Lee, Jae Im , Kye, Bong Hyeon , Oh, Soon Nam , Jung, Chan Kwon , Kang, Won Kyung , Kim, Jun Gi , Oh, Seong Taek

¹Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea. stoh@catholic.ac.kr
²Department of Radiology, The Catholic University of Korea College of Medicine, Seoul, Korea.
³Department of Pathology, The Catholic University of Korea College of Medicine, Seoul, Korea.

Abstract

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.

Key Words: Heterotopic paragonimiasis; Paragonimus westermani