Unusual clinical case: extraluminal manifestation of a tapeworm from the eviscerated midline incision in a post-surgery patient

  • Ahmet Cem Dural Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
  • Muhammet Ferhat Celik Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
  • Baha Temizgonul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
  • Mustafa Gokhan Unsal Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
  • Cevher Akarsu Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
  • Murat Gonenc Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
  • Mustafa Uygar Kalayci Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
  • Halil Alis Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
Keywords: Taenia saginata, cysticercus, helminth

Abstract

Taenia saginata infestation is one of the most common cestode infestations in humans, that may cause gastrointestinal tract related complications as a result of obstruction, perforation or anastomotic leakage.

A 55-year-old male patient who was receiving palliative chemotherapy for stage IV gastric cancer was admitted to the emergency department for abdominal pain. A hollow viscus organ perforation was diagnosed and an emergency surgery was performed. On postoperative day 5, the patient’s midline incision eviscerated and a moving taenia emerged, with abundant particulated fluid from the incision line. The patient was admitted for abdominal surgery due to suspected bowel perforation. During the abdominal exploration, a relaxed purse stitch of the feeding tube was observed and no other bowel perforations were seen. The patient underwent two planned surgery for abdominal cavity lavage after the removal of cestode. Unfortunately, the patient  died sixteen days after his admission to the intensive care unit.

This is the first case describing an extraluminal manifestation of a tapeworm in a midline incision from evisceration without intestinal perforation.

Author Biographies

Ahmet Cem Dural, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
Department of General Surgery, M.D., Staff surgeon
Muhammet Ferhat Celik, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
Department of General Surgery, M.D., Staff Surgeon
Baha Temizgonul, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
Department of General Surgery, M.D.
Mustafa Gokhan Unsal, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
Department of General Surgery, M.D., Staff Surgeon
Cevher Akarsu, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
Department of General Surgery, M.D, Staff Surgeon
Murat Gonenc, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
Department of General Surgery, M.D., Attending Surgeon
Mustafa Uygar Kalayci, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
Department of General Surgery, M.D., Associate Professor of Surgery
Halil Alis, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey
Department of General Surgery, M.D., Associate Professor of Surgery
Published
2015-04-15
How to Cite
1.
Dural AC, Celik MF, Temizgonul B, Unsal MG, Akarsu C, Gonenc M, Kalayci MU, Alis H (2015) Unusual clinical case: extraluminal manifestation of a tapeworm from the eviscerated midline incision in a post-surgery patient. J Infect Dev Ctries 9:428-430. doi: 10.3855/jidc.5153
Section
Case Reports