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Emergence of a Tape-worm Through Traumatic Perforation of the Small Intestine, Then Through the Umbilical Wound to the Exterior, Elhassaheisa Teaching Hospital, Sudan

Received: 23 July 2020     Accepted: 5 October 2020     Published: 17 October 2020
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Abstract

Tapeworm infection represents a common health problem in developing countries. Taeniasaginata infection is one of endemic diseases that found in countries where most of populations eat raw or undercooked meat. A 64 years old female patient with penetrating abdominal trauma, presented to Outpatient Clinic at Elhassaheisa Teaching Hospital, Gezira State, Sudan; December 2019. On examination patient looks unwell, not pale, vitally stable, fully conscious, abdomen moving with respiration with an open wound at umbilical region, and there is a tape warm moving outside abdomen through site of trauma. Patient immediately received intravenous fluids and antibiotics together with anti tetanus. An emergency laparatomy was performed with suspicion of perforated viscous. It was found that ileum was herniated through lineasemilunaris with three sites of perforation about 60cm from ileacecal valve. The affected part was resected and anastomosed, approximation of defect of lineasemilunaris was performed, pelvic drain was fixed, hemostatsis was secure, and no other tape-warm was found. Patient had a positive history of eating raw meats, loss of appetite, cholecystitis and frequent epigastric pain. Test for TaeniaSaginata was positive for patient and negative for her family. Patient was discharged on seventh day of operation in a good condition and on Albendazole tab. Seven days later after discharge she came for follow up and she was quite well. In this case, size of intestinal perforation was of adequate size through which tape-worm can emerge out of intestine. So, most probably worm emerged through perforation of intestine then through umbilical wound to exterior.

Published in Central African Journal of Public Health (Volume 6, Issue 5)
DOI 10.11648/j.cajph.20200605.21
Page(s) 316-319
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

TaeniaSaginata, Penetrating Abdominal Wound, Sudan

References
[1] Riju J. J. AM S. K. and Sashikala P. Cysticercosis of Cheek: A Case Report, J Microbiol Pathol, 2018; Volume 2 Issue 2.
[2] Mohanty A, Singh T. S., Bhutia T. O, Gupta P, Gupta P. A case of albendazole and niclosamide resistant Taeniasaginatainfection, International Journal of Research in Medical Sciences | June 2017 |Vol 5| Issue 6 pp 2821-2823.
[3] Ahsan S, Zia S. A, Ahmed J. Case Report A Case of TineaSaginata (tape worm) Infestation of the uterus presenting with abnormal vaginal bleeding, J Pak Med Assoc, August 2006, Vol. 56, No. 8, pp 377-378.
[4] Dural A. C, et al. Case Report Unusual clinical case: Extra-luminal manifestation of a tapeworm from the eviscerated midline incision in a post-surgery patient, J Infect Dev Ctries 2015; 9 (4): 428-430.
[5] Kumar S, Kumar S, Kumar M, Gautam S, Shidhartha K. Ileal perforation and peritonitis due to taenia a rare case. International Journal of Scientific and Research Publications, December 2014, Volume 4, Issue 12.
[6] Meena R, Mittal A, Samar N, Prajapati M. Albendazole Resistant Neurocysticercosis- Rare Unusual Case Report. Int J Cur Res Rev, February 2018| Vol 10 Issue 3, pp 7-9.
[7] Tiwari A. K, Gupta S, and Kumar M. Orbital Cysticercosis- A Case Report of Youngest Child Infected with TaeniaSolium, JIMSA April - June 2010 Vol. 23 No. 2, pp 93.
[8] Noss M. R, Gilmore K, Wittich A. C. A Case of Taeniasis Diagnosed Postpartum, MILITARY MEDICINE, April 2013, Vol. 178, pp 516-519.
[9] Najih M., et al. Case report Taeniasaginata: an unusual cause of post-appendectomy faecal fistula. Pan African Medical Journal. 2016; 25: 200 doi: 10.11604/pamj.2016.25.200.11003.
[10] Ish S, Pathak A, Sharma R, and Hasan S. An Interesting Case of Subconjunctival Cysticercus Cyst: A Case Report, J Eye Dis Disord, Vol. 4 Iss. 2 No: 1000130.
[11] Gupta C and Alam M. S. A case of non-resolving subconjunctivalcysticercosis managed by surgical excision, Sci J Med & Vis Res Foun October 2016|volume XXXIV| number 3|pp 67-69.
[12] Singh A. P, Maurya D. P, Gupta P, Tanger R, Goyal R. B, and Sharma M. A Rare Case of Cysticercosis of the Abdominal Wall, International Journal of Scientific Study |September 2014|Vol 2| Issue 6, pp149-150.
[13] Pandey S. C, and Pandey S. D. Case Report: Lingual cysticercosis, Indian J PlastSurg July-December 2005 Vol 38 Issue 2, pp 160-161.
[14] Sitcharungsi R and Watthanakulpanich D. Case report; Taeniasaginatainfection in a 14-month-old toddler, Southeast Asian J Trop Med Public Health, May 2016; Vol 47 No. 3 pp: 394-398.
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  • APA Style

    Omer Taha Ahmed Elmukashfi, Taha Ahmed Elmukashfi Elshiekh, Mohammed Algily Dafalla Mohammed, Imtethal Ali Mahmoud Abdlruhman. (2020). Emergence of a Tape-worm Through Traumatic Perforation of the Small Intestine, Then Through the Umbilical Wound to the Exterior, Elhassaheisa Teaching Hospital, Sudan. Central African Journal of Public Health, 6(5), 316-319. https://doi.org/10.11648/j.cajph.20200605.21

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    ACS Style

    Omer Taha Ahmed Elmukashfi; Taha Ahmed Elmukashfi Elshiekh; Mohammed Algily Dafalla Mohammed; Imtethal Ali Mahmoud Abdlruhman. Emergence of a Tape-worm Through Traumatic Perforation of the Small Intestine, Then Through the Umbilical Wound to the Exterior, Elhassaheisa Teaching Hospital, Sudan. Cent. Afr. J. Public Health 2020, 6(5), 316-319. doi: 10.11648/j.cajph.20200605.21

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    AMA Style

    Omer Taha Ahmed Elmukashfi, Taha Ahmed Elmukashfi Elshiekh, Mohammed Algily Dafalla Mohammed, Imtethal Ali Mahmoud Abdlruhman. Emergence of a Tape-worm Through Traumatic Perforation of the Small Intestine, Then Through the Umbilical Wound to the Exterior, Elhassaheisa Teaching Hospital, Sudan. Cent Afr J Public Health. 2020;6(5):316-319. doi: 10.11648/j.cajph.20200605.21

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  • @article{10.11648/j.cajph.20200605.21,
      author = {Omer Taha Ahmed Elmukashfi and Taha Ahmed Elmukashfi Elshiekh and Mohammed Algily Dafalla Mohammed and Imtethal Ali Mahmoud Abdlruhman},
      title = {Emergence of a Tape-worm Through Traumatic Perforation of the Small Intestine, Then Through the Umbilical Wound to the Exterior, Elhassaheisa Teaching Hospital, Sudan},
      journal = {Central African Journal of Public Health},
      volume = {6},
      number = {5},
      pages = {316-319},
      doi = {10.11648/j.cajph.20200605.21},
      url = {https://doi.org/10.11648/j.cajph.20200605.21},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200605.21},
      abstract = {Tapeworm infection represents a common health problem in developing countries. Taeniasaginata infection is one of endemic diseases that found in countries where most of populations eat raw or undercooked meat. A 64 years old female patient with penetrating abdominal trauma, presented to Outpatient Clinic at Elhassaheisa Teaching Hospital, Gezira State, Sudan; December 2019. On examination patient looks unwell, not pale, vitally stable, fully conscious, abdomen moving with respiration with an open wound at umbilical region, and there is a tape warm moving outside abdomen through site of trauma. Patient immediately received intravenous fluids and antibiotics together with anti tetanus. An emergency laparatomy was performed with suspicion of perforated viscous. It was found that ileum was herniated through lineasemilunaris with three sites of perforation about 60cm from ileacecal valve. The affected part was resected and anastomosed, approximation of defect of lineasemilunaris was performed, pelvic drain was fixed, hemostatsis was secure, and no other tape-warm was found. Patient had a positive history of eating raw meats, loss of appetite, cholecystitis and frequent epigastric pain. Test for TaeniaSaginata was positive for patient and negative for her family. Patient was discharged on seventh day of operation in a good condition and on Albendazole tab. Seven days later after discharge she came for follow up and she was quite well. In this case, size of intestinal perforation was of adequate size through which tape-worm can emerge out of intestine. So, most probably worm emerged through perforation of intestine then through umbilical wound to exterior.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Emergence of a Tape-worm Through Traumatic Perforation of the Small Intestine, Then Through the Umbilical Wound to the Exterior, Elhassaheisa Teaching Hospital, Sudan
    AU  - Omer Taha Ahmed Elmukashfi
    AU  - Taha Ahmed Elmukashfi Elshiekh
    AU  - Mohammed Algily Dafalla Mohammed
    AU  - Imtethal Ali Mahmoud Abdlruhman
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    PY  - 2020
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    DO  - 10.11648/j.cajph.20200605.21
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 316
    EP  - 319
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20200605.21
    AB  - Tapeworm infection represents a common health problem in developing countries. Taeniasaginata infection is one of endemic diseases that found in countries where most of populations eat raw or undercooked meat. A 64 years old female patient with penetrating abdominal trauma, presented to Outpatient Clinic at Elhassaheisa Teaching Hospital, Gezira State, Sudan; December 2019. On examination patient looks unwell, not pale, vitally stable, fully conscious, abdomen moving with respiration with an open wound at umbilical region, and there is a tape warm moving outside abdomen through site of trauma. Patient immediately received intravenous fluids and antibiotics together with anti tetanus. An emergency laparatomy was performed with suspicion of perforated viscous. It was found that ileum was herniated through lineasemilunaris with three sites of perforation about 60cm from ileacecal valve. The affected part was resected and anastomosed, approximation of defect of lineasemilunaris was performed, pelvic drain was fixed, hemostatsis was secure, and no other tape-warm was found. Patient had a positive history of eating raw meats, loss of appetite, cholecystitis and frequent epigastric pain. Test for TaeniaSaginata was positive for patient and negative for her family. Patient was discharged on seventh day of operation in a good condition and on Albendazole tab. Seven days later after discharge she came for follow up and she was quite well. In this case, size of intestinal perforation was of adequate size through which tape-worm can emerge out of intestine. So, most probably worm emerged through perforation of intestine then through umbilical wound to exterior.
    VL  - 6
    IS  - 5
    ER  - 

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Author Information
  • General Surgery Council, Sudan Medical Specialization Board, Khartoum, Sudan

  • Department of Community Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan

  • General Surgery Council, Sudan Medical Specialization Board, Khartoum, Sudan

  • Department of Training, Federal Ministry of Health, Khartoum, Sudan

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