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Korean J Helicobacter  Up Gastrointest Res > Volume 18(1); 2018 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2018;18(1):61-64.
DOI: https://doi.org/10.7704/kjhugr.2018.18.1.61    Published online March 10, 2018.
In Vivo Endoscopic Removal of Ancylostoma duodenale in a Patient with Abdominal Pain
Soo Young Na, Heung Up Kim, Young Ree Kim, Seung Uk Jeong, Sun Jin Boo, Hyun Joo Song, Eun Kwang Choi, Byung Cheol Song
1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. kimhup@hanmail.net
2Department of Laboratory Medicine, Jeju National University School of Medicine, Jeju, Korea.
복통으로 내원한 환자에서 내시경으로 제거된 두비니구충 1예
나수영1, 김흥업1, 김영리2, 정승욱1, 부선진1, 송현주1, 최은광1, 송병철1
제주대학교 의학전문대학원 내과학교실1, 진단검사의학교실2
Correspondence:  Heung Up Kim, Tel: +82-64-754-8159, Fax: +82-64-717-1131, 
Email: kimhup@hanmail.net
Received: 1 September 2017   • Revised: 13 November 2017   • Accepted: 20 November 2017
Abstract
A 20-year-old Cambodian male living in Korea for 2 years as a foreign worker visited our gastroenterology outpatient clinic. He had a small farm in Cambodia. He complained of postprandial upper abdominal pain with nausea and vomiting for 2 years. Gastroduodenoscopy showed hyperemic mucosa near the major papilla in the duodenum and two small and slender reddish worms. These were removed with endoscopic biopsy forceps. Under microscopy, these were identified as Ancylostoma duodenale by the characteristic morphology of 2 pairs of cutting teeth in the buccal cavity and 3 lobes in the copulatory bursa. After removal of two worms, his symptom improved. Soil-transmitted helminths (STH) present a global health problem. In the Republic of Korea, STH, including hookworms, were highly prevalent until the 1970s. With mass fecal examination followed by selective mass chemotherapy with anthelmintics from 1969 to 1995, the prevalence of STH has rapidly decreased since the 1980s. Since 2004, no hookworms have been found in nationwide surveys on the prevalence of intestinal parasitic infection. Therefore, we report a case of in vivo endoscopic removal of A. duodenale in a patient with abdominal pain.
Key Words: Ancylostoma; Endoscopy; Hookworm; Parasitic diseases


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