A case of Diphyllobothrium nihonkaiense by gastrografin injection using a nasal endoscope

  • Kawashima Jiro
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Sato Yuta
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Maeda Yasuharu
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Ide Yutaro
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Iwasaki Shunto
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Kawabata Yurie
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Shibuya Tomoya
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Semba Shigenori
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Ogura Yohei
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Sato Kenji Madariaga
    Cardinal Santos Medical Center
  • Nakamura Hiroki
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Matsudaira Shingo
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Misawa Masashi
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Miyachi Hideyuki
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Baba Toshiyuki
    Digestive Disease Center, Showa University Northern Yokohama Hospital
  • Kudo Shin-ei
    Digestive Disease Center, Showa University Northern Yokohama Hospital

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Other Title
  • 経鼻内視鏡下アミドトリゾ酸注入で日本海裂頭条虫を駆虫した1例

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Abstract

<p>A 76 year old female came to the outpatient clinic with a chief complaint of a string-like appearing substance in her stool. A fecalysis was done at our institution which showed the presence of eggs of Diphyllobothrium nihonkaiense. During hospitalization, a nasal endoscope was inserted into the descending duodenum followed by injection of 400 ml of gastrografin into the intestinal tract through the biopsy port; all were done under fluoroscopy. Expulsion of the worms was confirmed thirty minutes after gastrogafin injection. To date, this is the first reporting of Diphyllobothrium nihonkaiense treatment using nasal endoscopic gastrografin injection along with supplemental information from previous literatures.</p>

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