Case #273 – April, 2010

A 68-year-old man underwent a routine colonoscopy at a local V. A. Medical Center. He had no complaints of illness but had recently traveled to Ethiopia. A worm-like object measuring approximately 30 millimeters in length was observed and recovered. Figures A and B show the whole worm viewed with a dissecting microscope. Figures C and D show what was observed using a compound microscope at 200x magnification. What is your diagnosis? Based on what criteria?

Figure A

Figure B

Figure C

Figure D

This case and the specimen from which images were taken are courtesy of the Philadelphia V. A. Medical Center.

Images presented in the DPDx case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.

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