A CASE OF TRICHURIS TRICHIURA PRESENTING ACUTE ABDOMEN

Abstract

A 54-year-old female was admitted to our hospital complaining right lower abdominal pain. Abdominal ultrasonography, computed tomography and magnetic resonance image showed multiple concentric ring sign of the ascending colon, so that she was diagnosed as intussusception of intestine. Subsequent colonoscopic examination showed a stenotic change of the ascending colon and invasion of many whipworms into the edematous mucosa of the cecum. Mebendazole was give at a total dose of 1200mg as treatment. This is very rare case of Trichuriasis infestation, which caused acute abdomen like symptome. Only 11 cases were reported in literatures in Japan including our case.