Images in clinical medicine | Volume 39, Article 209, 22 Jul 2021 | 10.11604/pamj.2021.39.209.30820

Live large flatworm in intestine

Medhavi Vivek Joshi, Chaitanya Ajay Kulkarni

Corresponding author: Chaitanya Ajay Kulkarni, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India

Received: 16 Jul 2021 - Accepted: 19 Jul 2021 - Published: 22 Jul 2021

Domain: Gastroenterology

Keywords: Flatworm, Endoscopy, cholangiopancreatography

©Medhavi Vivek Joshi et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Medhavi Vivek Joshi et al. Live large flatworm in intestine. Pan African Medical Journal. 2021;39:209. [doi: 10.11604/pamj.2021.39.209.30820]

Available online at: https://www.panafrican-med-journal.com/content/article/39/209/full

Home | Volume 39 | Article number 209

Images in clinical medicine

Live large flatworm in intestine

Live large flatworm in intestine

Medhavi Vivek Joshi1, Chaitanya Ajay Kulkarni1,&

 

1Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India

 

 

&Corresponding author
Chaitanya Ajay Kulkarni, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India

 

 

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A 40-year male presented to the emergency department with the complaints of fatigue that had progressively worsened over the period of 3 months. He had recently emigrated from Mexico, where he worked on a farm and eaten raw watercress. Clinical examination revels pallor of oral mucosa. Laboratory findings showed an increased in absolute eosinophil count of 1400 cells per cubic millimeter (reference range 0-400). Ultrasonography of the abdomen reveled intrahepatic biliary ductal dilatation and magnetic resonance cholangiopancreatography revealed a hilar stricture. Endoscopic retrograde cholangiopancreatography was then performed and large flatworm were visualized emerging from major duodenal papilla.

 

 



Figure 1: lively flatworm in the duodenal papilla moving on the surface of the intestine

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Live large flatworm in intestine

Images in clinical medicine

Live large flatworm in intestine

Images in clinical medicine

Live large flatworm in intestine

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Flatworm

Endoscopy

Cholangiopancreatography

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