Monday, April 7, 2014

Case of the Week 299

The following object was noted in a routine endocervical Papanicolaou-stained smear.  Identification?  How would you sign this case out?  This case was generously donated by Tony Rollins CT(ASCP) and Dr. Harvey Cramer, MD.



8 comments:

  1. Wow a roundworm in an endocervical location. The only feature I can see is the spine or mucron at lower end, this is typical of anisakis. But the location is just weird.

    Jamal

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  2. Trichuris Trichiura

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  3. I am thinking pinworm...Lee

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  4. Trichinella spirilas

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  5. The striated body is consistent with a nematode. The more common worm for this site is E. vermicularis, yet the short tail rules out this possibility. The little spine at the end of the tail is consistent with Anisakis. I agree with Jamal, the location is unthinkable.

    Florida Fan

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  6. the posterior end and cuticle goes with Gonglonema pulcrum in an abnormal site

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  7. By size, Anisakis or others mentiones are out of discussion. Trichinella is most possible, probably in this location via the endometrium-uterus.

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  8. A cool but rather "disturbing" web site....
    We are dying of terminal illness and happened across this site....

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