2.Intestinal pathology in human metagonimiasis with ultrastructural observations of parasites.
Je G CHI ; Chul Woo KIM ; Jung Ran KIM ; Sung Tae HONG ; Soon Hyung LEE
Journal of Korean Medical Science 1988;3(4):171-177
A human case of intestinal metagonimiasis that was incidentally found during the histological examination of a resected segment of jejunum was described. The small adults trematode of Metagonimus yokogawai were found free in jejunal lumen as well as impacted in intervillous spaces. Histologically intestinal lesions were massive lymphoplasmacytic and eosinophilic infiltration in stroma, erosion of neanby enterocytes, goblet cell depletion and occasional villous edema. Scanning electron microscopy revealed the worm of spatulate appearance with rake-shaped tegumental spines. By transmission electron microscopy, the syncytial integument with dense discoidal bodies, basement membrane muscle cells and subtegumental cells were observed. Characteristic junctional complex was demonstrated between subtegumental and parenchymal cells as well as between parenchymal cells.
Adult
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Animals
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Heterophyidae
;
Histiocytic Sarcoma/*complications/pathology
;
Humans
;
Intestines/microbiology/*pathology
;
Male
;
Microscopy, Electron, Scanning
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Trematode Infections/complications/*pathology
4.Histiocytic medullary reticulosis radiologic diagnosis of splenic infarction: a case report.
Seong Oh YANG ; Dong Soo LEE ; Kyung Soo LEE ; Myung Joon KIM ; Hyung Sik CHOI ; Yong Hwan JUN ; Yong Koo PARK
Journal of Korean Medical Science 1988;3(1):31-34
A case of histiocytic medullary reticulosis with splenic infaraction from a 23-year-old male is presented. Radiologic findings on selective spleen scintigraphy and abdominal CT are described. Selective spleen scintigraphy showed huge, multilobulated spleen with numerous photon-deficient areas in it and peripherally. Abdominal CT showed large peripheral band-like low density and infiltrative lesion in spleen with accompanying intraabdominal lymphadenopathy. Histoligical features were consistent with HMR in spleen and liver specimens.
Adult
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Hemoperitoneum/etiology
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Hepatomegaly/etiology/pathology
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Histiocytic Sarcoma/*complications
;
Humans
;
Male
;
Splenic Infarction/*etiology/radiography/radionuclide imaging
;
Splenic Rupture/etiology
;
Splenomegaly/etiology/pathology
;
Tomography, X-Ray Computed