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Korean J Parasitol > Volume 10(2):1972 > Article

Original Article
Korean J Parasitol. 1972 Aug;10(2):65-70. English.
Published online Mar 20, 1994.  http://dx.doi.org/10.3347/kjp.1972.10.2.65
Copyright © 1972 by The Korean Society for Parasitology
A case report of intestinal eosinophilic granuloma du to Ascaris Ova
Jung Kyun Chu,Kang Suk Seo and Yung Kul Chung
Department of Parasitology, School of Medicine, Kyung Hee University, Korea.
Department of Parasitology, College of Medicine, Pusan National University, Korea.
Pusan Sanitation Hospital, Korea.
Abstract

This is a case report of intestinal eosinophilic granuloma caused by Ascaris ova and worm which is supposed to be rare in Korea.

Case: A 23 year old healthy female reached Pusan Sanitation Hospital with complaints of high fever and abdominal pain on December 3 in 1966.

Examination: Her temperature was 99.6 F. Pulse 80. Abdominal palpation showed muscle rigidity and tenderness. On the right side of the abdomen diagnosis due to ruptured appendix was made, and a laparotomy was performed the same day.

Operation: Intestinal perforation by a Ascaris worm in the caecum about 7 cm from the ileo-caecal junction was also found. The worm was liquefied already. The intestine was edematous . Numerous rice sized nodules were seen on the intestine. The omentum was markdly inflammed and was adhered with a fist size mass. The mass and appendix were also resected in order to do a histological study.

Pathology: Two kinds of tissues were examined : one a mesenteric mass, the other lymph node.

Microscopically: it showed intensive and entirely necrotic tissue in which numerous parasitic ova were surrounded by granulomatous inflammatory cells with eosinophiles . The parasitic ova were degenerative and partialy necrotic although they had three layers of egg shell which are identified with Ascaris ova.

Figures



Granuloma with moderate fibrosis and encapsulation of parasite ova



Granulomatosis foecua with central necrosis marked eosinophilic infiltration and encapsulation of parasite ova

References
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11. Yokogawa M, Yoshimura H. Clinicopathologic studies on larval anisakiasis in Japan. Am J Trop Med Hyg 1967;16(6):723–728.
 
12. Yoshimura H. Minophen Med Rev 1966;11:105.
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