BMJ Case Reports 2013; doi:10.1136/bcr-2013-009441

Acute abdominal pain and diarrhoea in healthy adult

  1. Bradford McGwire
  1. Division of Infectious Diseases, The Department of Internal Medicine, The Ohio State University, Columbus, Ohio, USA
  1. Correspondence to Dr Bradford McGwire, brad.mcgwire{at}


An adult woman presented with 2 weeks of mild fatigue followed by 1 day of acute abdominal pain and explosive watery diarrhoea. Upon finding an object from her anus, slow extraction revealed a tape-like structure (see figure. 1). Although living in the mid-west USA, she has travelled throughout the Middle East and sub-Saharan Africa as well as frequently consuming raw fish. The …

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article