Journal of Gastrointestinal Infections

Register      Login

VOLUME 5 , ISSUE 1 ( 2015 ) > List of Articles


An accidental endoscopic finding – Trichuris trichiura. A case report and review of the literature

Sandeep Dogra, Shoket Chowdry, Bella Mahajan

Keywords : Colonoscopy, trichuriasis, Trichuris trichiura

Citation Information : Dogra S, Chowdry S, Mahajan B. An accidental endoscopic finding – Trichuris trichiura. A case report and review of the literature. J Gastrointest Infect 2015; 5 (1):54-56.

DOI: 10.5005/jp-jogi-5-1-54

License: CC BY-SA 4.0

Published Online: 01-05-2015

Copyright Statement:  Copyright © 2015; The Author(s).


Trichuris trichiura, commonly referred to as a whipworm, has a worldwide distribution, particularly among countries with warm and humid climates. This parasite is carried by nearly one quarter of the world population especially less-developed countries. Poor hygiene is associated with trichuriasis transmission, and children are especially vulnerable because of their high exposure to risk factors. This is especially true in developing countries, where poor sanitary conditions correlate with heavy disease burden and infections. Only patients with heavy parasite burden become symptomatic. The diagnosis is typically confirmed by detection of T. trichiura eggs on examination of a stool sample. This case report deals with a patient with trichuriasis who were diagnosed by detection of the parasite on colonoscopy. Thus colonoscopy might be a useful diagnostic tool, especially in symptomatic patients who are infected by only a few male worms with no eggs in the stool and thus are not diagnosed by conventional methods.

PDF Share
  1. Kang G, Mathew MS, Rajan DP, Daniel JD, Mathan MM, Mathan VI, et al. Prevalence of intestinal parasites in Rural Southern India. Indian Tropical Medicine and International and Hygiene.1998; 80:706-18.
  2. World Health Organization, Prevention and Control of intestinal parasitic Infections. Report of a WHO Expert Committee. World Health Organ Tec Rep Ser/ 1987; 749.
  3. Chandra B, Long JD. Diagnosis of Trichuris trichiura (whipworm) by colonoscopic extraction. J Clin Gastroenterol. 1998;27:152-7.
  4. Taguchi H, Yamamoto H, Miyata T, Hayashi Y, Sunada K, Sugano K. In vivo diagnosis of whipworm (Trichuris trichiura) with highdefinition magnifying colonoscope (with video) Gastrointest Endosc. 2008;68:37.
  5. Lin AT, Lin HH, Chen CL. Colonoscopic diagnosis of whipworm infection. J Gastroenterol Hepatol. 2005;20:965-7.
  6. Chang CW, Chang WH, Shih SC, Wang TE, Lin SC, Bair MJ. Accidental diagnosis of Trichuris trichiura by colonoscopy. Gastrointest Endosc. 2008;68:154.
  7. Elliott DE. Intestinal worms. In: Feldman M, Friedman LS, Brandt LJ, editors. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 8th ed. Philadelphia, USA: Saunders; 2006. pp. 2441-2.
  8. Lee SH, Chai JY, Hong ST. Synopsis of Medical Parasitology. 1st ed. Seoul, Korea: Korea Medical Book; 1996. pp. 62-6.
  9. Keiser J, Utzinger J. Efficacy of current drugs against soiltransmitted helminth Infections: systemic review and metaanalysis. JAMA. 2008;299:1937-48.
  10. Bundy & deSilva DAP. Epidemiological aspects of Trichuris trichuriasis in Caribbean communities. Transaction of Royal Society of Tropical medicine Health, 1998; 3:70-75.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.