

Colonoscopies are gross and scary enough on their own without cockroaches being introduced into the mix – but the photograph that you see before you is of exactly that: a cockroach in someone’s colon, a live one no less.

A 52-year-old woman with a history of depression was referred by her primary physician for colorectal cancer screening. She had no family history of colorectal cancer and a review of systems was positive for abdominal bloating. Bowel preparation was done using 4 L of polyethylene glycol the evening prior to screening colonoscopy. The procedure was uncomplicated with no gross mucosal pathology, however, an insect was found in the transverse colon (Fig. 1, to the left), was found in the transverse colon on a routine screening colonoscopy.). The insect was aspirated and sent to the lab for further identification. The insect had three body segments (head, thorax, and abdomen) with ventrodorsal flattening of the body and a segmented abdomen, three pairs of legs extending from the thorax (with spikes and claw-like terminal appendages), elongated hind legs, and a pair of elongated antennae extending from the head to beyond the hind legs.These morphologic findings were most consistent with the nymph form of Blattella germanica (German cockroach) of the Blattellidae family, a common household pest. The patient had a cockroach infestation at home and hence it was hypothesized that she may have inadvertently ingested a cockroach with food.

I am going to go out on a limb here and say that the patient in question was probably really happy to learn that she had a cockroach living in her colon – it beats colorectal cancer any day of the week. But in all seriousness, if you have cockroach nymphs invading your colon, you really do need to think about calling in a professional to deal with your home’s bug problem. [Neatorama]