Volume 6, Issue 5, October 2020, Page: 316-319
Emergence of a Tape-worm Through Traumatic Perforation of the Small Intestine, Then Through the Umbilical Wound to the Exterior, Elhassaheisa Teaching Hospital, Sudan
Omer Taha Ahmed Elmukashfi, General Surgery Council, Sudan Medical Specialization Board, Khartoum, Sudan
Taha Ahmed Elmukashfi Elshiekh, Department of Community Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
Mohammed Algily Dafalla Mohammed, General Surgery Council, Sudan Medical Specialization Board, Khartoum, Sudan
Imtethal Ali Mahmoud Abdlruhman, Department of Training, Federal Ministry of Health, Khartoum, Sudan
Received: Jul. 23, 2020;       Accepted: Oct. 5, 2020;       Published: Oct. 17, 2020
DOI: 10.11648/j.cajph.20200605.21      View  84      Downloads  22
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.
Keywords
TaeniaSaginata, Penetrating Abdominal Wound, Sudan
To cite this article
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, Central African Journal of Public Health. Vol. 6, No. 5, 2020, pp. 316-319. doi: 10.11648/j.cajph.20200605.21
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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