Image/hk.on.cc The story, accompanied by a plethora of X-rays or related scans, tells of a man who body was overtaken with what appears to be the spargana of a Cestode, or tapeworm parasite. [outbreaknewstoday.com]

You’re complaining of having nightmares about your teeth falling out? I dream of intestinal colonization with a 30 foot tapeworm. [blogs.discovermagazine.com]

These are important findings in terms of diagnosis. [1,2,3,4,5] Abdominal tenderness This may or may not be demonstrated in the epigastric region and is due to local allergic reaction of the intestine and rarely may be attributed to intestinal obstruction [explainmedicine.com]

tenderness Abdominal distention Peritoneal signs See Presentation for more detail. [emedicine.com]

The other symptom was mild abdominal cramping for a period of 1 year. The laboratory examination did not reveal anemia or vitamin B12 deficiency. [ncbi.nlm.nih.gov]

Although many carriers are asymptomatic, overt clinical manifestations of diphyllobothriasis can include diarrhea, epigastric pain, nausea and vomiting. There are no reports of anaemia associated with any of the northern species except D. latum. [ncbi.nlm.nih.gov]

Despite only mild physical symptoms, the pilot's psychological distress and distraction from knowing about the meters-long tapeworm was significant. Prompt treatment was paramount to resumption of military operations. [ncbi.nlm.nih.gov]

DISCUSSION: Despite only mild physical symptoms, the pilot’s psychological distress and distraction from knowing about the meters-long tapeworm was significant. Prompt treatment was paramount to resumption of military operations. [ingentaconnect.com]

Tapeworm Diphyllobothrium dendriticum (Cestoda)--neglected or emerging human parasite?. PLoS Negl Trop Dis. 2013. 7 (12):e2535. [Medline]. Kuhn JA, Knudsen R, Kristoffersen R, Amundsen PA. [emedicine.com]

Peripheral smear demonstrating macrocytosis (unless also iron deficient) and hypersegmented polymorphonuclear neutrophils Vitamin B-12 level of less than 150 pmol/L and total serum homocysteine level of more than 13 µmol/L or methylmalonic acid level [emedicine.com]