作者在日本东京进行尸体解剖时,偶然地在一例的心脏及下腔静脉内发现2条细长的线虫,它们具有非妊娠犬恶丝虫雌性成虫的特征。作者对该病例进行了介绍对虫体并作了描述。被解剖者为1例倒毙于露天停车场的36岁日本男性尸体,其生前过着流浪生活,死亡前2年曾因黄疸就诊。解剖发现:腹部膨隆,肝、脾肿大并有腹水2L。病理学检查肝脏广泛脂肪浸润、肝细胞灶性坏死和显著的小叶重建,显示脂肪性肝硬化,死亡原因为慢性酒精中毒性肝硬化肝衰竭。此外,作者在心血管内发现2条细长的线虫:一条体长29.5cm、体宽0.87mm,位于右心内,虫体通过三尖瓣从右心房达右心室,其尾端环绕着三尖瓣瓣膜。另一条体长26.5cm,体宽0.85mm,位于下腔静脉相当于髂总静属支入口的部位。虫体头端圆、有不明显的乳头状突起,口小而无唇,末端钝圆且无尾突,虫 When the author conducted autopsy in Tokyo, Japan, occasionally 2 slender nematodes were found in the heart and in the inferior vena cava of a case, which had the characteristics of female adults of non-pregnant Dracunculiasis. The authors introduced the case and described the parasites. An anatomist was a 36-year-old Japanese male whose body had fallen dead in an open-air parking lot and had had a vagrant life before his death and was treated for jaundice two years before his death. Anatomical findings: bulging abdomen, liver, splenomegaly and ascites 2L. Pathological examination of the liver extensive fat infiltration, hepatic cell necrosis and significant lobular reconstruction, showing fatty liver cirrhosis, the cause of death was chronic alcoholic liver cirrhosis failure. In addition, the authors found two slender nematodes in the cardiovascular system: one with a body length of 29.5 cm and a body width of 0.87 mm, located in the right heart. The worm passed through the tricuspid valve to the right ventricle from the right atrium and its tail surrounded the tricuspid Valvular valve. The other body length of 26.5cm, body width 0.85mm, located in the inferior vena cava is equivalent to static part of the iliac mouth. Hermaphrodite head round, there is no obvious papillae, mouth small but without lip, the tip is obtuse and no tail process, insects