A 55-year-old native of Sichuan, Master Xie has been working in Hangzhou for more than ten years, and at the end of last year, he returned to his hometown for a period of time due to his father's illness.
After returning to Hangzhou during the Spring Festival this year
Loss of appetite and fatigue occurs, initially accompanied by unexplained mild abdominal pain and diarrhea. After 4 months, he always thought that it was caused by depression, until he had three days of chills and fever, and then went to the Hepatobiliary and Pancreatic Surgery Department of the First People's Hospital of Hangzhou.
This examination can frighten both the doctor and Master Xie, because the ultrasound imaging department shows that Master Xie's left liver has been "hollowed out" and turned into a large pus ball, and the doctor carefully measured it, and the large pus ball reached 19cm× 18cm× 12cm.
After admission, the ct examination of the abdomen found that there were many tumor-like structures on the walls of the liver abscesses, and the walls were very thick. It seems that this liver abscess is not simple.
In order to make the pus ball smaller and further trace the "culprit", the doctor gave Master Xie a pusbic drainage under the guidance of ultrasound. As a result, a large amount of gray-white pus was smoothly ejected, but after a series of examinations, no "traces" of bacteria, fungi, tuberculosis and malignant tumors were found. So what kind of illness did Master Xie have?
After multidisciplinary consultation and discussion in hepatobiliary surgery, infection department, imaging department and so on, Director Jia Changku, Chief Physician Shen Weimin, Deputy Chief Physician Xu Sunbing, etc., decisively performed surgery for the patient to remove the left hemisphere, completely removing this foggy lesion.
No one thought that the pathology showed that a large number of tumor-like structures on the abscess wall were actually granulomatous inflammatory lumps, and even crawled with bulb-like, thick shells of Chinese mycodylisthea worm eggs, and there were countless more in the abscess, and the scalp was numb.
Chondridylus
Also known as liver fluke, is one of the highest infection rate parasites in China, it can parasitize the human body's hepatobiliary system, produce toxins and some secretions, damage liver cells, bile duct epithelial cells, cause repeated inflammation of the liver, organ failure and other symptoms, may develop into cirrhosis, severe may lead to liver cancer.
But why did Master Xie have so many worm eggs in his body?
After the operation, Master Xie recalled that when he returned to his hometown, he bought local fish and made sauerkraut fish once. "In order to pursue the tender taste, I only ate the fish fillets in hot water for a few tens of seconds." Chef Xie said they have a local habit of eating fish fillets raw or half raw, which locals call "fish raw".
The truth is out, liver fluke eggs like to hide in freshwater fish and shrimp and other aquatic products, when people eat unsanitary sashimi or unripe fish and shrimp and other foods, it will quietly lurk into the human body. "Once a fish is infected with liver trematode, people will also be infected after eating sashimi." The doctor told Master Xie.
Photo courtesy of a hospital in Hangzhou
"The insect is incredibly fertile, laying 1,400 to 2,000 eggs at a time and surviving for 20 to 30 years." Director Jia Changku said that if left unchecked, they will not only make their home in the liver, but also "eat" the liver by the liver. "But due to the health situation and people's living habits getting better and better in recent years, we have rarely seen such patients now."
Doctors say freshwater fish and shrimp, as well as marine fish that swim back through freshwater, are likely to be infected with liver flukes.
terrible!
Original "liver flukes"
There is such a big "power"!
And when it comes to "raw fish", many people love to eat,
Everyone must be careful! Don't get infected with liver flukes by eating raw fish...
Parasites in fish can follow the host for 20-30 years without feeling serious or even causing liver cancer
Liver flukes like to "hide" in freshwater fish and shrimp, and quietly lurk into the human body as people eat raw, unripe fish and shrimp. They parasitize the human hepatobiliary duct to produce eggs and produce metabolites, which triggers a series of complications that block the bile ducts.
At the same time, its vitality is also very tenacious, once it lives in the host's body, it can follow for 20-30 years.
So... What you think you're eating is delicious sashimi is actually a parasite!
At the beginning of infection, people may not feel much, because the mild ones are almost asymptomatic; but if they are severe, there will be abdominal pain, diarrhea, dyspepsia, malnutrition, fatigue and fatigue, hidden pain in the liver area, hepatomegaly and other clinical manifestations, and in the late stage, cirrhosis and ascites may appear, and cholecystitis, cholangitis, bile duct obstruction, etc., and even cause liver cancer.
If the host is a child, it can also seriously affect growth and development, and even lead to dwarfism.
So don't take any chances! Regarding eating "raw fish", there are several major misunderstandings: soy sauce, mustard and other seasonings can kill liver flukes? No!
Cysticercosis of liver flukes is relatively resistant to condiments, and condiments cannot play an insecticidal effect in a short period of time. Experts point out that cysticercosis can survive for 2 hours in vinegar and 5 hours in soy sauce.
Myth 2: Can drinking liquor kill insects? No!
Drinking liquor not only kills liver flukes, but also increases the burden on the liver.
Myth 3: If you have raw fish when you eat with others, and if you don't eat raw fish yourself, will you be infected?
There is such a possibility. Because the liver flux cysticers parasitizing the fish can contaminate chopsticks and cross-contaminate other hot dishes.
To avoid "parasites" you have to eat like this
01 Boil for at least 5 minutes to eat raw or undercooked freshwater fish and shrimp. Cook thoroughly before eating, to ensure that at least boil for more than 5 minutes and then move the chopsticks Oh ~ 02 strictly distinguish between raw and cooked food utensils The knife and cutting board used to cut raw and cooked food should be separated and not mixed; all kinds of utensils containing raw fish should be washed clean. 03 Do not feed cats and dogs with raw food Do not use raw fish scales, fish offal, fish gills, etc. to feed dogs, cats, raw water for washing fish should not be fed to pigs or other domestic animals. 04 Wash your hands frequently, but also pay attention to hand hygiene and wash your hands frequently!
Source: Comprehensive Hangzhou Traffic 918, City Express, Healthy Guangdong, Guangdong Disease Control, Shenzhen Third People's Hospital
Original title: The man's left liver was "hollowed out", and the wall was covered with dense insect eggs! The reason was eating sauerkraut fish
Editor: Ji Qianqian