A Case of Parasite Invasion of the Intestinal Tract: A Missed Diagnosis in Irritable Bowel Syndrome.
- Author:
Kang Hun KOH
1
;
Sang Wook KIM
;
So Young LEE
;
Hee Jung LEE
;
Hea Min YU
;
Byung Jun JEON
;
Dae Hun KWON
;
Soo Teik LEE
Author Information
1. Onnuri-Su Medical Clinic, Daejeon, Korea.
- Publication Type:Case Report
- Keywords:
Irritable bowel syndrome;
Parasitic infection;
Ancylostoma duodenale;
Ancylostomatoidea
- MeSH:
Abdominal Pain;
Ancylostoma;
Ancylostomatoidea;
Capsule Endoscopy;
Diagnosis*;
Diagnosis, Differential;
Humans;
Irritable Bowel Syndrome*;
Jejunum;
Parasites*;
Young Adult
- From:Clinical Endoscopy
2013;46(6):671-674
- CountryRepublic of Korea
- Language:English
-
Abstract:
Irritable bowel syndrome (IBS) is a gastrointestinal disorder characterized by chronic abdominal pain and altered bowel habits in the absence of any organic cause. As the clinical manifestations are very diverse and associated with nonspecific symptoms, research seeking to identify organic causes to rule out IBS and to enable differential diagnosis is required. A 24-year-old man was referred to our hospital for specialized management of IBS. He had a 7-month history of intermittent epigastric and lower abdominal pain. On the basis of clinical examination, he was diagnosed with IBS and administered medication at a primary clinic. However, his symptoms did not improve after treatment. We performed capsule endoscopy at our hospital and identified a parasite (Ancylostoma duodenale) in the proximal jejunum. We therefore report a case of parasitic infection found by additional examination while evaluating symptoms associated with a previous diagnosis of refractory IBS.
