| Summary points: | A 33-year-old Japanese man was referred with a history of spontaneous discharge of tapeworm segments. Medical history reveals a similar episode occurred 3 months previously. He denied having recently eaten raw fish and did not have frequent travelling habits. Laboratory data, scolex at the small intestine, microscopic stool examination, and capsule endoscopy examination are described; images provided. The authors discuss an unusual case of Diphyllobothrium latum/nihonkainese infection in which the suspected source of infection is uncertain, but was identified by capsule endoscopy and treated with praziquantel. |