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An Unusual Duodenal Visitor | OMICS International
ISSN: 2161-069X
Journal of Gastrointestinal & Digestive System

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An Unusual Duodenal Visitor

Meng-Shu Hsieh1, Fang-Jung Yu1,2, Wen-Hung Hsu1,2 and Chien-Yu Lu1,2*

1Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan

2Department of Internal Medicine, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan

*Corresponding Author:
Chien-Yu Lu, M.D
Division of Gastroenterology, Department of Internal Medicine
Kaohsiung Medical University Hospital
No. 100, Tz-You 1st Road, Kaohsiung 807, Taiwan
Tel: 886-7-3121101
Fax: 886-7-3135612

Received date: Feburary 22, 2016;Accepted date: Feburary 24, 2016; Published date: Feburary 26, 2016

Citation: Hsieh MS, Fang-Jung Yu, Wen-Hung Hsu, Chien-Yu Lu (2016) An Unusual Duodenal Visitor. J Gastrointest Dig Syst 6:i105. doi:10.4172/2161-069X.1000i105

Copyright: © 2016 Hsieh MS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Clinical Image

A 55-year-old male patient had peptic ulcer history with regular follow-up. This time, an upper endoscopy was performed due to abdominal discomfort. Interestingly, an insect was found in the duodenal bulb (Figure 1), and on close-up view, it was consistent with the structure of a mosquito (Figure 2). After the literature review, it was found that few cases of finding insects in the gastrointestinal (GI) tract have been described. Cockroaches [1], ants [2,3] and bees [4] have been reported; however, our case is the first reporting any insect in the duodenum and the first reporting a mosquito in the GI tract. The patient lived by a fish farm with a humid environment for mosquitoes to breed and most likely swallowed the mosquito unintentionally. Mosquitoes are more fragile than other reported insects and easily damaged in the swallowing process. Consequently, it is rare to see a complete mosquito within the GI tract.


Figure 1: An insect was found in the Duodenal bulb.


Figure 2: Consistency of Duodenal bulb with the structure of a mosquito.


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Review summary

  1. Astrid Blackman
    Posted on Oct 05 2016 at 11:36 am
    The article is interesting and is a first report on presence of a mosquito in the duodenal region of gastrointestinal tract. The article adds a new dimension in the existing literature related to presence of insects inside the gastrointestinal tract of human beings.

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