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A case of Taenia saginata infection involving gallbladder and common bile duct
Young Ho Kim,Je G. Chi and Seung-Yull Cho*
Department of Surgery and Pathology, College of Medicine, Seoul Natonal University, Korea.
**present-address: Department of Parasitology, College of Medicine, Chung-Ang University, Seoul, Korea.
Abstract
A 77-year old man living in Kyunggi-Do, Korea was surgically treated at Seoul National University Hospital on April 1981, because of acute abdomen. At laparotomy, a 1.77m long adult Taenia saginata was found both in gallbladder and in common bile duct to cause acute gangrenous cholecystitis. The relevant literature were reviewed and possible mechanisms of the disease were discussed.
Figures
EXPLANATION OF FIGURES Fig. 1. Resected gall-bladder (upper) and mass of tapeworm (lower) extracted form the common bile-duct. The scolex was found in the worm mass from common bile duct.
Fig. 2. T-tube cholangiography undertaken at the 7th postoperative day. Unusual revelation of pancreatic duct was found.
Fig. 3. Complete strobila of Taenia saginata collected in the present case (after formalin fixation).
Fig. 4. The scolex of the tapeworm stained with acetocarmine, showing distinct suckers without hooklets.
Fig. 5. Photomicrograph of the gallbldder, showing patchy transmural ischemic necrosis and necrosis and neutrophilic infiltration at mid-protion. The mucosa is almost completely denuded and replaced by necrotic debris. Remaining mucosa and muscle coats are seen in the right side. H&E, ×40.
Fig. 6. Microscopic picture of the lymph node, showing a considerable number of neutrophils and eosinophils in the medullary sinuses. H&E, ×100.
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