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Year : 2015 | Volume
: 58
| Issue : 1 | Page : 137 |
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Quiz answer page |
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KP Aravindan
Department of Pathology, Government of Medical College, Kozhikode, Kerala, India
Click here for correspondence address and email
Date of Web Publication | 11-Feb-2015 |
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How to cite this article: Aravindan K P. Quiz answer page. Indian J Pathol Microbiol 2015;58:137 |
Quiz 1/2015
Whipworm (Trichuris trichiura) in rectum: Along with rectal tissue are seen 2-3 cm long white worms with a very thin "whip" like anterior end and a stouter whip-handle like posterior end.
They are seen occasionally on endoscopy, attached to the mucosa in the cecum or rest of the colon. [1],[2] Rectum seems to be a very uncommon site.
See below the histology in this case. Rectal mucosa and a section of the worm are seen on the left. On the right at higher magnification is the uterus containing the typical barrel-shaped eggs with a characteristic plug at either end.

Quiz 2/2015
Abdominal cystic lymphangiomatosis: Multiple cystic lesions are seen in the spleen and mesentery. Most cysts contain clear fluid. However, one in the mesentery is white and contains milky fluid (chyle). Lymphangiomatosis can be limited to a particular organ or structure like the spleen or liver or be a more generalized process. It is usually seen in children and rarely in adults. [3],[4]
The histology was typical in this case with multiple cystic spaces lined by endothelium and containing eosinophilic fluid material (See below - left: Spleen; Right: Mesentery).

References | |  |
1. | Ok KS, Kim YS, Song JH, Lee JH, Ryu SH, Lee JH, et al. Trichuris trichiura infection diagnosed by colonoscopy: Case reports and review of literature. Korean J Parasitol 2009;47:275-80. |
2. | Tuan Sharif SE, Ewe Seng C, Mustaffa N, Mohd Shah NA, Mohamed Z. Chronic Trichuris trichiura infection presenting as ileocecal valve swelling mimicking malignancy. ISRN Gastroenterol 2011;2011:105178. |
3. | Blei F. Lymphangiomatosis: Clinical overview. Lymphat Res Biol 2011;9:185-90. |
4. | Lin RY, Zou H, Chen TZ, Wu W, Wang JH, Chen XL, et al. Abdominal lymphangiomatosis in a 38-year-old female: Case report and literature review. World J Gastroenterol 2014;20:8320-4. |

Correspondence Address: Prof. K P Aravindan Department of Pathology, Government of Medical College, Kozhikode, Kerala India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0377-4929.151230

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