Paragonimus westermani is a lung fluke that is usually found in the lungs, but may be found in unusual locations. A case of omental and mesenteric paragonimiasis was found incidentally during surgical intervention for rectal cancer.
A 59-yr-old male patient visited our hospital for low abdominal pain and decreasing stool caliber. He had a history of ingestion of raw freshwater fish and crab. He was diagnosed as having rectal cancer, and a palliative Hartmann's procedure was performed. During the operation, several seeding nodules were found. Microscopic findings showed numerous paragonimus ova in the resected omental and mesentery. We report a case of heterotopic paragonimiasis in the abdominal cavity after rectal cancer surgery.
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Paragonimiasis in the Abdominal Cavity and Subcutaneous Tissue: Report of 3 Cases Chang Ho Lee, Jong Hun Kim, Woo Sung Moon, Min Ro Lee The Korean Journal of Parasitology.2012; 50(4): 345. CrossRef