患系女性农民,于1989年6月30日到Miyazaki医学院皮肤科就诊。主诉一个月前在右外侧腹壁出现一移动性肿块。既往有食用河蟹日本绒螯蟹(Eriocheir japonicus)史,1989年1月还曾食用生的野猪肉片。体检:右侧腹壁可见两色素斑和一红色硬结。实验室检查:白细胞计数6800/mm~2,嗜酸性粒细胞26％,血清总IgE 671.5IU/ml,肝功能正常,胸部X光片正常,对多氏颚口线虫(Gnathostoma doloresi)速发型皮肤反应试验呈阴性。在手术切除腹壁肿块过程中,从硬化的皮下脂肪组织内找到一条活的、红棕色的椭 Affected women farmers, on June 30, 1989 to Miyazaki Medical College dermatology treatment. One month ago, a mobile mass appeared in the right lateral abdominal wall. In the past, there was a history of eating Eriocheir japonicus from crabs. In January 1989, raw wild pork pieces were eaten. Physical examination: two pigmented spots on the right abdominal wall and a red induration. Laboratory tests: white blood cell count 6800 / mm ~ 2, eosinophils 26%, total serum IgE 671.5IU / ml, normal liver function, normal chest X-rays, the rapid growth of Gnathostoma doloresi Reaction test was negative. During surgical removal of the abdominal mass, a living, reddish brown oval is found from the hardened subcutaneous fat tissue