pancreatitis is an uncommon disease. We are presenting a case of Taenia saginata causing pancreatitis,
which is rare in the literature. A 40 years old female was admitted to our
hospital with complaints of epigastric pain for 6 months, radiating to the back,
combined with nausea, vomiting and significant weight loss. On examination, she
looked ill, vitally stable, afebrile, not jaundiced, and her abdomen was soft,
lax with moderate epigastric tenderness, no distention and positive bowel sounds.
Her workup showed serum amylase of 1367 U/L, Liver function test, Calcium and Triglycerides
were all within normal ranges. Abdominal Ultrasound showed homogeneous bulky pancreas
with dilated pancreatic duct. CT abdomen confirmed the diagnosis of pancreatitis
with no evidence of biliary stones. An upper gastrointestinal endoscope revealed
diffuse gastritis with small haital hernia. She was treated conservatively as a
case of idiopathic acute pancreatitis and later was discharged in good condition.
One month later, she was admitted again with similar symptoms and attacks of diarrhea.
Investigations showed amylase of 139 U/L, abdominal Ultrasound was negative for
biliary stones. CT showed a prominent pancreatic duct and thickened duodenum. Oesophagogastrodudenoscopy
was repeated to evaluate the cause of the pain. This interestingly revealed a tapeworm
(Taenia saginata) in the second part of
the duodenum, adjacent to ampulla of Vater. The patient received Mebendazole 100
mg PO BID for three days and later was discharged home. At 4 weeks follow up, she
was asymptomatic and her stool analysis was negative.
 Sarles, H., Sarles, J.C., Camatte, R., Muratore, R., Gaini, M., Guien, C., Pastor, J. and Le Roy, F. (1965) Observations on 205 Confirmed Cases of Acute Pancreatitis, Recurring Pancreatitis, and Chronic Pancreatitis. Gut, 6, 545-559. http://dx.doi.org/10.1136/gut.6.6.545
 Steinberg, W. and Tenner, S. (1994) Acute Pancreatitis. The New England Journal of Medicine, 330, 1198-1210. http://dx.doi.org/10.1056/NEJM199404283301706
 Lee, S.P., Nicholls, J.F. and Park, H.Z. (1992) Biliary Sludge as a Cause of Acute Pancreatitis. The New England Journal of Medicine, 326, 589-593. http://dx.doi.org/10.1056/NEJM199202273260902
 Crompton, D.W. (1999) How Much Human Helminthiasis Is There in the World? Journal of Parasitology, 85, 397-403. http://dx.doi.org/10.2307/3285768
 Bordon, L.M. (1992) Intestinal Obstruction due to Taenia saginata Infection: A Case Report. The Journal of Tropical Medicine and Hygiene, 95, 352-353.
 Karanikas, I.D., Sakellaridis, T.E., Alexiou, C.P., Siaperas, P.A., Fotopoulos, A.C. and Antsaklis, G.I. (2007) Taenia saginata: A Rare Cause of Bowel Obstruction. Transactions of the Royal Society of Tropical Medicine and Hygiene, 101, 527-528, http://dx.doi.org/10.1016/j.trstmh.2006.07.004
 Ozbek, A., Guzel, C., Babacan, M. and Ozbek, E. (1999). An Infestation Due to a Taenia saginata with an Atypical Localization. American Journal of Gastroenterology, 94, 1712-1713. http://dx.doi.org/10.1111/j.1572-0241.1999.01712.x
 Daou, R., Achram, M., Abousalbi, M. and Dannaoui, M. (1998). Acute Acalculous Cholecystitis Due to Taenia saginata. Chirurgie, 123, 195-197. http://dx.doi.org/10.1016/S0001-4001(98)80106-2
 Yellin, A.E. and Donovan, A.J. (1981) Biliary Lithiasis and Helminthiasis. The American Journal of Surgery, 142, 128-136. http://dx.doi.org/10.1016/S0002-9610(81)80022-0
 King, C.H. (2000). Cestodes (Tapeworms). In: Mandell, G.L., Bennett, J.E. and Dolin, R., Eds., Principles and Practice of Infectious Diseases, 5th Edition, Churchill Livingstone, Philadelphia, 2956-2964.
 Liu, Y.M., Bair, M.J., Chang, W.H., Lin, S.C. and Chan, Y.J. (2005) Acute Pancreatitis Caused by Tapeworm in the Biliary Tract. American Journal of Tropical Medicine and Hygiene, 73, 377-380.
 Sheikh, M., Sheikh, I., Ali, I. and Reshi, F. (2008) Nasal Expulsion of Taenia saginata: A Rare Route of Expulsion. The Internet Journal of Surgery, 16, Article 7.
 Benedict, E.B. (1926) Taenia saginata in the Gall Bladder. The Journal of the American Medical Association, 87, 1917. http://dx.doi.org/10.1001/jama.1926.92680230001012
 Talice, R.V. and Perez-Moreira, L. (1954) Localization of Taenia saginata in the Gallbladder. Archivos Uruguayos Medicina, Cirugia y Especialidades, 44, 261-269.
 Kim, Y.H., Chi, G.J. and Cho, S.-Y. (1981) A Case of Taenia saginata Infection Involving Gallbladder and Common Bile Duct. Korean Journal of Parasitology, 19, 167-172. http://dx.doi.org/10.3347/kjp.1922.214.171.124
 Daou, R., Achram, M., Abousalbi, M. and Dannaoui, M. (1998) Acute Acalculous Cholecystitis Due to Taenia saginata. Chirurgie, 123, 195-197. http://dx.doi.org/10.1016/S0001-4001(98)80106-2
 Khuroo, M.S., Zargar, S.A., Mahajan, R., Bhat, R.L. and Jovid, G. (1987) Sonographic Appearances in Biliary Ascariasis. Gastroenterology, 93, 267-272.
 Khuroo, M.S. (1996) Ascariasis. Gastroenterology Clinics of North America, 25, 553-577. http://dx.doi.org/10.1016/S0889-8553(05)70263-6
 Jung-Cook, H. (2012) Pharmacokinetic Variability of Anthelmintics: Implications for the Treatment of Neurocysticercosis. Expert Review of Clinical Pharmacology, 5, 21-30. http://dx.doi.org/10.1586/ecp.11.72