SERPENT” IN THE BREAST

Talha Bin Saleem, Irfan Ahmed

Abstract


Introduction: Dracunculus medinensis better known as guinea worm is the longest nematode
infecting humans. Mature female worms migrate along subcutaneous tissue to reach the skin
below the knee forming a painful ulcerating blister. Calcified male worm can occasionally be
found in the retro peritoneum. Finding of a calcified worm in the breast tissue is very rare.
Material and methods : We report a case of a fit and well African lady who was found to have a
calcified guinea worm in the breast on a mammographic examination for investigation of a breast
lump. Conclusion: Guinea worm can be included in the differential diagnosis of the breast lump
especially in the endemic areas although the finding remains very rare.
Key Words: Guinea worm, Dracunculus medinensis, Breast lump, Serpent.

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