title: Unusual clinical case: extraluminal manifestation of a tapeworm from the eviscerated midline incision in a post-surgery patient.
abstract: Taenia saginata infestation is one of the most common cestode infestations in humans, that may cause gastrointestinal tract related complications as a result of obstruction, perforation or anastomotic leakage. A 55-year-old male patient who was receiving palliative chemotherapy for stage IV gastric cancer was admitted to the emergency department for abdominal pain. A hollow viscus organ perforation was diagnosed and an emergency surgery was performed. On postoperative day 5, the patient's midline incision eviscerated and a moving taenia emerged, with abundant particulated fluid from the incision line. The patient was admitted for abdominal surgery due to suspected bowel perforation. During the abdominal exploration, a relaxed purse stitch of the feeding tube was observed and no other bowel perforations were seen. The patient underwent two planned surgery for abdominal cavity lavage after the removal of cestode. Unfortunately, the patient died sixteen days after his admission to the intensive care unit. This is the first case describing an extraluminal manifestation of a tapeworm in a midline incision from evisceration without intestinal perforation.
authors.affiliation: Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy-Istanbul, Turkey. cemdural@hotmail.com.
authors.forename: Ahmet Cem
authors.initials: AC
authors.lastname: Dural
authors.forename: Muhammet Ferhat
authors.initials: MF
authors.lastname: Celik
authors.forename: Baha
authors.initials: B
authors.lastname: Temizgonul
authors.forename: Mustafa Gokhan
authors.initials: MG
authors.lastname: Unsal
authors.forename: Cevher
authors.initials: C
authors.lastname: Akarsu
authors.forename: Murat
authors.initials: M
authors.lastname: Gonenc
authors.forename: Mustafa Uygar
authors.initials: MU
authors.lastname: Kalayci
authors.forename: Halil
authors.initials: H
authors.lastname: Alis
mesh_terms: D000818:Animals; D002590:Cestode Infections / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic; D013274:Stomach Neoplasms / Q000150:complications; D013530:Surgical Wound Infection / Q000469:parasitology*; D041202:Taenia saginata / Q000302:isolation & purification*