Her symptoms were dyspepsia and non-specific epigastric pain. Observation of the larvae of this parasitic helminth in sites other than the small intestinal mucosa has been previously reported in disseminated forms, in patients with underlying disabling disease or immunosuppression.
Few reports are available on the infestation of the gastric mucosa.
It is concluded that S. stercoralis infection should be considered as a potential cause of upper gastrointestinal symptoms in tropical and sub-tropical areas. Her epigastric pain had been associated with intermittent diarrhea and constipation, bloating, heartburn and a decreased appetite for the past few days. She was a rice cultivator from Northern Iran and had adult-onset diabetes mellitus, which had been treated for the past few years with oral hypoglycemic drugs. She also gave a history of simple goiter for whichshe took thyroid extract. However, she denied any significant weight-loss.