阻塞性结直肠癌术后高输出造口诊断贾第鞭毛虫病一例[J].
[A case of giardiasis diagnosed from a high output stoma after surgery for obstructive colorectal cancer].
发表日期：2024
作者：
Isao Yoshida, Takahiro Matsumura, Hironori Shimizu, Fumiyo Iida, Toshiaki Yasui, Masahiro Hoso
来源：
Parasites & Vectors
摘要：
本报告描述了一例贾第鞭毛虫病，通过对从阻塞性结直肠癌高输出造口收集的术后粪便液进行粪便涂片分析来检测。该患者是一名 67 岁男性，因梗阻性结直肠癌接受了右半结肠切除术和回肠造口术。术后造口持续过量排泄粪便促使进行粪便涂片检查。研究结果表明存在肠贾第鞭毛虫。口服甲硝唑时粪便排出量减少。研究强烈建议长期出现胃肠道症状的患者需要接受粪便涂片检查。
This report describes a case of giardiasis detected through stool smear analysis of postoperative stool fluid collected from a high output stoma for obstructive colorectal cancer. The patient, a 67-year-old male, underwent right hemicolectomy with ileostomy for obstructive colorectal cancer. The persistent excessive excretion of postoperative stool fluid from the stoma prompted a stool smear test. The findings revealed the presence of Giardia intestinalis. Fecal output decreased when metronidazole was administered orally. The study strongly recommends that patients with prolonged gastrointestinal symptoms need to undergo stool smear tests.