Worm Found in Tonsil of Japanese Woman With Sore Throat

An unpleasant sensation at the back of the throat can be a sign that a cold is on the way. But for one Tokyo woman, the cause of the pain was not a sniffle but a live worm that had lodged itself inside one of her tonsils.

Doctors at St Luke’s International hospital in the Japanese capital removed the long black worm with tweezers after the patient had complained of throat pain and irritation, according to a case study published in the American Journal of Tropical Medicine and Hygiene.

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Better Data Shed More Light on Ulcerative Colitis Surgery

An inflammatory bowel disease (IBD) surgery registry that adds IBD-specific variables to general quality measurements for restorative proctocolectomy with ileal pouch-anal anastomosis (RPC-IPAA) performed for ulcerative colitis (UC) allows a better interpretation of predictive factors for delayed pouch formation, according to a new study.

There is little consensus about RPC-IPAA measurements, and the the ACS National Surgical Quality Improvement Program (NSQIP) cannot accurately classify RPC-IPAA staged approaches, Dr. Samuel Eisenstein of UC San Diego Health, in La Jolla, California, and colleagues note in The American Journal of Surgery.

The procedure is often performed in a staged manner as the operation is complex. Patients may require the initial surgical intervention when they are medically refractory, may be receiving multiple immunosuppressive medications, and experiencing other sequelae.

“Currently,” the authors add, “much of the North American literature comparing RPC-IPAA staged approaches has been limited to single-center retrospective cohorts.”

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