Accidental Cut Research Articles

Accidental Cut Throat Injury by an Unusual Weapon: A Rare Case Report

Accidental Cut Throat Injury by an Unusual Weapon: A Rare Case Report

Determinants of Perioperative Complications in Day-Surgery for Endometriosis: A Retrospective Cohort

<h3>Study Objective</h3> In this study, we aimed to evaluate the potential determinants of perioperative complications in day surgeries for endometriosis. <h3>Design</h3> A retrospective cohort study. <h3>Setting</h3> N/A. <h3>Patients or Participants</h3> We used data from the Canadian administrative data from the National Ambulatory Care Reporting System (NACRS) maintained by the Canadian Institute for Health Information (CIHI). 16,982 women aged 15-44 years undergoing day-surgery for endometriosis between 2015 and 2019 were eligible. <h3>Interventions</h3> Surgeries were categorized as minor conservative (e.g., biopsy or minor adhesiolysis) or major conservative surgeries (e.g., lesion excision or resections) or hysterectomies. <h3>Measurements and Main Results</h3> 16,982 patients underwent day-surgery over the five-years study period. We observed a higher risk of complications associated with greater age (OR=1.58; 95%CI 1.26-1.98); hysterectomies (OR=2.29; 95%CI 1.73-3.06); lesions of the bowel or urinary tract system (OR=1.54; 95%CI 1.16-2.06), and extra-pelvic sites of endometriosis (OR=1.24; 95%CI 1.07-1.52); and with centers of higher volume (OR=1.59; 95%CI 1.09- 2.32). The odds of infections were higher among patients undergoing hysterectomies (OR=8.56; 95%CI 4.70- 15.59); and lower among patients with ovarian endometriosis (OR=0.44; 95%CI 0.24- 0.78). The odds of renal complications were significantly higher among older patients (OR=1.57; 95%CI 1.01- 2.45), and among patients with lesions in miscellaneous sites (OR=1.75; 95%CI 1.24- 2.48). The odds of complications such as accidental cut, puncture, perforation, or laceration were higher in older patients (OR=1.57; 95%CI 1.18- 2.10); among those undergoing major conservative surgery (OR=1.57; 95%CI 1.31- 1.89) or hysterectomy (OR=2.31; 95%CI 1.70- 3.14); in the context of bowel or urinary tract system endometriosis (OR=1.84; 95%CI 1.43 -2.37); and in high-volume centers (OR=1.82; 95%CI 1.22- 2.72). <h3>Conclusion</h3> Age, hysterectomy, endometriosis of the bowel, urinary tract system and extra-pelvic sites, and high-volume center increase the risk of complications. Determinants of complications can inform care by improving the recognition of patients at greater risk.

Identification of Prognostic Factors in Spaghetti Wrist Injuries.

Background: Spaghetti wrist injuries involve a complete transection of three or more structures at the wrist level (including tendons, nerves, or arteries). Few studies on spaghetti wrist trauma have been reported in the literature, and most of them have focused on functional recovery rather than the prognostic factors which affect the outcome. We attempted to address some of the lacunae in current knowledge. Methods: Patients who were operated between January 2017 to January 2019 for spaghetti wrist injuries at a level 1 trauma center were included in the study. Several variables such as age, gender, smoking, education level, mechanism of injury, time gap between the injury to surgery, number of damaged structures and pattern of neurovascular structure were selected as potential prognostic factors to be included in the analysis. Motor recovery, sensory recovery & QuickDash score were used for the outcome assessment. A Multivariate analysis was done to identify the prognostic factor(s). Results: Thirty patients were included in the study. The mean age was 30.5 years (range: 7-57 years). Male population was predominantly affected (93.33%). The dominant limb was injured in 73.33%. The most common mechanism of injury was accidental glass cut (n = 19,63.33%), the most frequently affected structure was flexor digitorum superficialis of the middle finger (n = 23, 76.6%). Combined nerve injury was present in 23.33%. Intrinsic muscle recovery was affected significantly by presence of crush injury (e = 7.189, std error = 2.425, p = 0.003), education significantly affected power grip recovery (p < 0.0001), age was associated with pinch grip recovery (e = 0.083, std error = 0.039, p = 0.034). Conclusions: Increasing age, low education level, and presence of crush injury were identified as negative prognostic factors in the study. These findings may be used for counselling of patients affected by spaghetti wrist injuries.

Accidental cut of esophageal temperature probe during lobectomy for lung cancer - A case report -

Accidental cut of esophageal temperature probe during lobectomy for lung cancer - A case report -

Tıp Fakültesi Öğreticisinden Kurban Bayramı Sonrası Elde Orf Enfeksiyonu

BACKGROUND Human orf infection – caused by Parapox virus – is an uncommon zoonotic infection transmitted from infected sheep and goats. We report an Orf lesion which occurred on the ring finger of a fifth-grade Medical student who had butchered a goat in Sacrifice Feast (also called Eid al-Adha). CASE REPORT 23 year old male student in fifth-grade of Medical Faculty was diagnosed with hand orf infection after Sacrifice Feast. The patient reported accidental cut on his left ring finger while butchering a goat which was subsequently recognized to be infected. After occurrence of the Orf lesion, he had administered intervention with a sterile syringe needle to remove the scab for drainage due to false impression of abscess formation despite warnings. The patient was treated with daily wound care and regular outpatient visits. Although mild scarring remained owing to intervention administered by the patient, Orf lesion healed well after seven weeks from admission. The patient was complaint free after 18 months from admission. Finger posture, range of motion, sensation were normal. CONCLUSION An Orf lesion developing on the hand skin of a medical student and his approach to a zoonotic infection raised the idea that further and detailed education for zoonotic infection prevention is required, particularly in communities which practice large numbers of slaughtering during Sacrifice Feast. Mode and control of zoonotic disease transmission as well as preventive measures and management should be emphasized not only in veterinarian education, but also in medical, nursing and public schools.

Adult Spinal Deformity: National Trends in the Presentation, Treatment, and Perioperative Outcomes From 2003 to 2010

Study DesignRetrospective review of a prospective database. ObjectivesTo investigate adult spinal deformity (ASD) surgery outcome trends on a nationwide scale using the Nationwide Inpatient Sample (NIS) from 2003 to 2010. MethodsASD patients ≥25 years from 2003 to 2010 in the NIS undergoing anterior, posterior, or combined surgical approaches were included. Fractures, 9+ levels fused, or any cancer were excluded. Patient demographics, hospital data, and procedure-related complications were evaluated. Yearly trends were analyzed using univariate analysis and linear regression modeling. ResultsOf 10,966 discharges, 1,952 were anterior, 6,524 were posterior, and 1,106 were combined. The total surgical ASD volume increased by 112.5% (p = .029), and both the average patient age (p < .001) and number of patients >65 years old significantly increased from 2003 to 2010 (p = .009). Anterior approach case volume decreased by 13.7% (p = .019), whereas that of combined increased by 22.7% (p = .047). Posterior case volume increased by 38.9% from 2003 to 2010, though insignificantly (p = .084). Total hospital charges for all approaches increased over the interval (p < .001). Total length of stay for all approaches decreased over the time interval (p < .005). Although the overall morbidity for all approaches increased by 22.7% (p < .001), mortality did not change (p = .817). The most common morbidities in 2003 were hemorrhagic anemia, accidental cut, puncture, perforation, or laceration during a procedure, and device-related complications, which persisted in 2010 with the exception of increased acute respiratory distress syndrome and pulmonary-related complications. ConclusionsFor ASD surgery from 2003 to 2010, the volume of anterior approaches decreased, whereas posterior procedures did not change, and combined approaches increased. Total hospital charges increased for all considered procedures, length of hospital stay decreased, whereas operative patients were increasingly elderly, and more procedures were observed for patients >65 years old. For all approaches, morbidity increased whereas mortality did not change. Future study is required to develop methods to reduce morbidity and costs, thereby optimizing patient outcomes.

Universal cognitive mechanisms explain the cultural success of bloodletting

Bloodletting—the practice of letting blood out to cure a patient—was for centuries one of the main therapies in the west. We lay out three potential explanations for bloodletting's cultural success: that it was efficient, that it was defended by prestigious sources—in particular ancient physicians—, and that cognitive mechanisms made it a particularly attractive practice. To test these explanations, we first review the anthropological data available in eHRAF. These data reveal that bloodletting is practiced by many unrelated cultures worldwide, where it is performed for different indications and in different ways. This suggests that the success of bloodletting cannot only be explained by its medical efficiency or by the prestige of western physicians. Instead, some universal cognitive mechanisms likely make bloodletting an attractive form of therapy. We further test this hypothesis using the technique of transmission chains. Three experiments are conducted in the U.S., a culture that does not practice bloodletting. Studies 1 and 2 reveal that stories involving bloodletting survive longer than some other common therapies, and that the most successful variants in the experiments are also the most successful variants worldwide. Study 3 shows how a story about a mundane event—an accidental cut—can turn into a story about bloodletting. This research demonstrates the potential of combining different methodologies—review of anthropological data, experiments, and modeling—to investigate cultural phenomena.

Fatal Accidental Cut Throat Injury by Manja: a Case Report

Kite flying is a popular sport in India among children and young adult males especially during spring season. However this sport turned fatal for a girl aged five years when she sustained fatal cut throat injury by a kite thread. The girl was seated in front on a motorbike driven by her father when her neck came across the kite string of a flying kite. She succumbed to her injuries within an hour of the accident. Fatal cases due to cut throat injury by kite thread are rarely reported in literature. The case highlights the need for law enforcement agencies to create awareness among people and form rules and regulations to avoid fatal consequences of such a sport.

Low-cost transobturator vaginal tape inside-out procedure for the treatment of female stress urinary incontinence using ordinary polypropylene mesh.

The aim of this study is to describe the use of ordinary polypropylene mesh and our modified helical passers through a transobturator vaginal tape inside-out technique (TVT-O) as a low-cost alternative to available commercial kits in the treatment of stress urinary incontinence (SUI) with evaluation of its long-term safety and efficacy. This is important in developing countries due to limited health care resources. Tailored (11 × 1.5 cm) polypropylene tape was inserted in 59 women from June 2006 to June 2009 at the Urology Department, Cairo University Hospitals as an open prospective study. SUI was diagnosed by positive cough stress test (CST) and abdominal leak point pressure (ALPP). Patients with post-void residual urine (PVRU) > 100 ml, bladder capacity < 300 ml, or neurological lesions were excluded. The Stress and Urge Incontinence and Quality of Life Questionnaire (SUIQQ), urodynamic parameters, and other variables were compared pre- versus postoperatively with paired t, Wilcoxon signed rank, McNemar, or chi-square tests. The mean age was 47.47 ± 8.52 years. Twenty-one (35.6 %) patients had intrinsic sphincter deficiency (ISD). The mean operative time was 21.22 ± 4.26 min (15-30). Procedures for prolapse were done in four (6 %) patients. Complications were vaginal discharge (6 %), dyspareunia (1 %), groin pain (20 %), urinary tract infection (3 %), obstructive symptoms (1 %), accidental cut of polypropylene suture (1 %) and felt subcutaneous polypropylene sutures (3 %). We had no cases of erosions or de novo urgency. SUIQQ indices improved significantly, while urodynamic parameters showed no significant difference postoperatively. Of the patients, 54 (91 %) were cured and 3 (5 %) improved, while failure was detected in 2 (3 %) patients. Our technique is safe with excellent 5-year results. It should be considered as a low-cost alternative to available commercial kits in the treatment of SUI mainly for public health systems with few financial resources.

A 24-Year-Old Man with Previously Diagnosed Hemophilia

A 24-year-old Middle Eastern man diagnosed with hemophilia at the age of 4 or 5 years presented to the hematology clinic for follow-up after a recent hospitalization for excessive bleeding from an accidental knife cut. The patient reported a history of prolonged bleeding after teeth extractions, an upper gastrointestinal bleed 3 years previously, and excessive bruising since childhood. He denied hemarthroses but reported chronic pain in his ankles and joints. The patient reported having been treated for episodes of excessive bleeding with fresh frozen plasma (FFP)3 and factor VIII during past hospitalizations. Because of poor continuity of care, his disease had not been monitored or treated on an ongoing outpatient basis. The patient's family history is noteworthy for consanguineous parents (first cousins) and a sister who also experienced excessive bleeding, although her diagnosis was uncertain. Initial laboratory test results included a normal complete blood count, including platelets, a prolonged activated partial thromboplastin time (aPTT), and a prolonged prothrombin time (PT) (Table 1). Fibrinogen activity was normal. A 1:1 mixture of the patient's plasma with pooled normal plasma demonstrated full correction of the PT and aPTT, a result consistent with factor deficiency. View this table: Table 1. Patient's laboratory results (citrated plasma). ### ADDITIONAL PATIENT DATA AND DIFFERENTIAL DIAGNOSIS Patients with isolated hemophilia A, B, or C (due to deficiencies in factors VIII, IX, and XI, respectively) or factor VIII deficiency due to von Willebrand disease typically have a prolonged aPTT but a normal PT. In the absence of anticoagulation therapy or suspected vitamin K deficiency, a prolonged PT in this patient's initial workup should raise clinical suspicion for a bleeding disorder of a different etiology. Given the patient's clinically notable bleeding symptoms since childhood, a genetic disorder should be considered. The differential diagnosis includes dysfibrinogenemia, prothrombin deficiency, factor V deficiency, combined deficiency of factors V and VIII (F5F8D), factor X deficiency, and hereditary combined deficiency of …

Accidental cut of peripherally inserted central venous catheter

Dear Editor, Peripheral central venous catheterization (PICVC) is a popular technique for maintenance of an intravenous line for longstanding duration, as it does not require specific skill and is devoid of serious complications such as pneumothorax, hemothorax, tearing of vessels, hematoma, etc. associated with other routes of central venous cannulation [1, 2], although cases of fracture and migration of distal fragment have been reported in literature from time to time [3, 4]. Accidental cut and migration of central venous catheter (CVC) during a haircut has been reported in the literature [5]. We came across a complication with PICVC. An 18 SWG (Medicent TM ) catheter was inserted through the basilic vein and fixed on the right forearm. On the fourth day during change of dressing this catheter was accidentally cut near to its hub as it was entangled in dressing and adhesive plaster (Fig. 1). Another PICVC could not be passed due to extensive phlebo-thrombosis of both the arms. Suddenly, the idea of insertion of an 18 SWG conventional intravenous cannula into the long end of the central catheter lying outside the vein was proposed by our colleague. The patient was shifted to minor OR and the cut end of the PICVC was cleaned with 5% Povidone-Iodine IP. Under strict aseptic conditions, we pushed an 18 SWG i.v. cannula along with metal stylet into the PICVC device, after removing the sheath of the introducer, till it fitted tightly. A knot with size 3-0 sterile silk thread was put around the insertion site. To our surprise, there was no fluid leak after removal of the metal stylet and connection to the i.v. fluid line. This simple and cost-effective idea saved us performing an open surgical venous cannulation or other technically difficult subclavian, jugular or femoral cannulation, which should only be used in specific cases as they have serious complications, as stated above. Figure 2 shows distal fragment of PICVC along with intravenous cannula after removal from the vein on the 15th day. However, it is recommended that this procedure should be done under

Knowledge of HIV/AIDS, Infection Prevention Practices and Accidental Skin Cuts in Barbing Saloons in Sokoto, Nigeria

This study aimed to determine the knowledge, perception and practices about HIV/AIDS among barbing saloon operators in Sokoto metropolis in Northwestern Nigeria. The study was a cross-sectional survey research, which employed the use of a structured, interviewer-administered questionnaire and direct observation for data collection. The results of the survey showed awareness of HIV/AIDS and knowledge of the viral aetiology of the infection in 95.6% and 46% of barbers respectively. Almost all the respondents (99.3%) belief in the existence of AIDS, 92.7% perceived HIV/AIDS as a problem and 86.1% agreed that it is preventable. Only 24.8% of the subjects were knowledgeable about the possibility of accidental transmission of HIV from client to client through barbing equipment. Sexual intercourse, contaminated instruments and transfusion of infected blood were correctly identified as possible methods of HI V transmission by 85.4%, 76.6% and 66.4 of respondents respectively. Only 2 (1.4%) of the 137 saloons had a sterilizer and only 7.3% and 6.6% respectively actually carried out a ‘mild' disinfection of their barbing equipment before and after barbing the next client. Methylated spirit, dettol (Chloroxylenol) and savlon (Chlorhexidine gluconate), ‘parozone' (bleaching powder), izal (7% Tar acid phenol and 2% Cresylic creosote) and hand-held flame light were the available. disinfectants/sterilants in the saloons. An accidental cut of the client's skin was found in 11.7% of the barbers' customers. On the basis of our findings, we identified and recommend the need for the training and certification of barbers on infection prevention and control in barbing saloons. . Keywords: Barbers, knowledge, infection prevention practice, Nigeria The Nigerian Medical Practitioner Vol. 51 (6) 2007: pp. 123-127

Improvements in Microflow Feeding Pump and Measurement Software of the Optoelectronic Liquid Signature Analyzer#

To ensure that the liquid drop is slowly delivered under quasi-equilibrium condition in drop analysis, a microflow feeding pump actuated by a single stepping motor and controlled by the computer software is improved. The function of switching and injecting can be effectively realized and the cost is reduced. It can exclude the influence of bubbles. The photo signal of an embedded photoelectric sensor is used to control the movement of the syringe so as to avoid the step-missing condition. The computer software is used to solve the possible problems caused by the accidental mechanical block or sudden power cut. A kind of one-time syringe is designed for some liquids difficult to clean. Average method in the dynamic drop monitoring process is used to smooth the signals with high-frequency noise. A representation of the liquid drop fingerprint based on equivalent drop volume percentage is developed by normalizing the capacitive signal to solve the problem of magnification variation.

Chain Failure by Bending on Deepwater Mooring Systems

This article, written by Technology Editor Dennis Denney, contains highlights of paper OTC 17238, "Failure of Chains by Bending on Deepwater Mooring Systems," by P. Jean, Single Buoy Moorings Inc.; K. Goessens, Total E&amp;P Angola; and D. L'Hostis, DV Offshore, prepared for the 2005 Offshore Technology Conference, Houston, 2–5 May. The premature rupture of mooring chains of the Girassol buoy after only a half-year of service was caused by bending fatigue of the first free chain link inside the chain hawse (fairlead). Although the mooring system had been designed according to offshore industry standards, it failed because of this bending-fatigue mode. A study of this bending phenomenon led to a redesign of both the top chain segment size and the hawse connection, which now includes a new chain-connecting arm (CCA). A new method was developed to estimate the fatigue damage in the chain subjected to bending, which was used to design a new CCA for the Girassol buoy. Introduction The Girassol loading buoy was installed in September 2001 at the Girassol oil field off-shore Angola in 1350-m water depth. The buoy allows export, by use of two midwater 16-in. export lines, of the stabilized crude oil processed onboard the floating production, storage, and offloading vessel, moored 1 naut mile away. The buoy is anchored to the seabed by means of three groups of three anchor legs. Before the incident, the anchor legs comprised collinear segments of 81-mm studded chains and 130-mm-diameter polyester ropes. Within each group, the legs are spread 5° apart, and the group centers are spread 120° apart. The chain segments are at the upper and lower ends of the anchor legs. In May 2002, 235 days after buoy installation, one group of anchor legs (B4, B5, and B6) broke almost simultaneously, followed 1 month later by the rupture of another anchor leg (B1). The ruptures in Anchor Legs B4, B6, and B1 occurred at exactly the same location—at the fifth link of the upper chain segment connected to the buoy inside a standard-type curved chain hawse—while Leg B5 broke in the upper rope segment. This rope-segment rupture was caused primarily by an earlier accidental cut of the rope through two-thirds of its section. The total rupture of Leg B5 followed the rupture of Legs B4 and B6 as a result of load transfer. However, the fifth link of Leg B5 was found severely cracked, thus confirming the same failure mechanism for all four legs. Studies identified the root cause as the out-of-plane bending (OPB) stress (fatigue stress), combined with tension variations, occurring mainly in the fifth link inside the chain hawses. As Fig. 1 shows, Link 5 is the first link to oscillate with respect to the Link 4, which is fixed onto the internal curved shape of the chain hawse.

Microsurgical anatomy of the recurrent laryngeal nerve: applications on the anterior approach to the cervical spine

To present an anatomical description of the recurrent laryngeal nerve (RLN) on both sides of the larynx as it relates to the possible lesion mechanisms in anterior cervical spine surgery. Twelve adult cadavers were examined from the microsurgical laboratory at the School of Medicine at UFMG, MG, Brazil. The data collected were analyzed in terms of frequency, average and standard deviation. The left RLN had a total average length of 9.4 +/- 1.6 cm entering the larynx in 36.3% of the cases at the approximate height of C5, 18.2% at C4, 18.2% at C5-C6, 18.2% at C6 and 9.1% at C4-C5. Recurrence appeared in 45.4% of the cases at the approximate height of T3, 18.2% at T3-T4, 18.2% at T4 and 18.2% at T5. The right RLN had a total average length of 5 +/- 0.3 cm entering the larynx in 44.4% of the cases at the approximate height of C5, 44.4% at C6, and 11.1% at C3-C4. Recurrence appeared in 60% of the cases at the approximate height of T1, 30% at C7 and 10% at T2. The right RLN was found to be more vulnerable to operational lesions due to two complimentary yet different reasons, trajectory and length. Owing to the fact that a more oblique and unprotected trajectory is not related directly with the tracheoesphageal groove, there is a strong possibility of direct traumas occurring as with the resulting compression from the employ of surgical retractors or an accidental cut, principally in surgeries involving lower vertebral levels. In the same way, the smallest RNL length favors the stretching of fibers during the per-operative traction.

Policy challenges in building dependability in global infrastructures

[This paper was given at Compsec 2002, in London, on 30 October 2002]. Global or continental critical infrastructures — including electric power, telecommunications, and the Internet — are now the control plane for advanced economies. The occasional failures of these key infrastructures illustrate not only our dependence, but also the unanticipated interdependencies between systems. For example, the 1998 failure of a single telecommunications satellite, Galaxy 4, led to an outage of nearly 90% of all pagers in the United States, while also causing a number of unanticipated failures: many banking and financial services (credit card purchases, automated teller machines) were interrupted, as was communications with doctors and emergency workers [1]. With awareness of economic and social dependence on these distributed infrastructures has come a growing concern about their reliability and security. Defense against deliberate attack — critical infrastructure protection — emerged as part of the US national security posture in the mid-1990s with the work of the President’s Commission on Critical Infrastructure, and was codified by Presidential Decision Directive 63 in 1998. Other nations are also beginning to develop national strategies for infrastructure protection. Reliability is more than protection against deliberate attack. An accidental cut of a fiber optic trunk shut down air traffic control along the east coast of the US for a day. A cascading series of events, starting with a tree limb falling, caused much of the western US to lose electricity. The challenge of improving the reliability of global networked infrastructures presents us with significant analytical and decision-making complexities, with both technical and policy relevant dimensions [2]. This paper — using principally examples from the Internet and other distributed IT systems — presents two perspectives on these complexities. First is to present critical global infrastructures as complex adaptive systems, which share certain characteristics that policy makers and managers need to account for. Secondly, the balance of the paper outlines five major dimensions of the analytical and decision-making complexity, and presents the research and policy-making agendas that need to be addressed if we are to significantly improve the reliability of global infrastructures. Neither of these perspectives is purely technical or engineering based. Success in increasing the reliability of global infrastructures will require much more analytically sophisticated research in, among other topics, the issue areas identified here — in addition to ongoing technology-based research.

Protothecosis following hand injury a case report

A case of protothecosis following an accidental cut on the dorsum of the hand by a fragment of glass from an exploding beer bottle is described. The area was widely excised and oral tetracycline given. No recurrence has been seen over a period of four years.

A study on the rate of water transport of the clam katelysia opima in relation to environmental conditions

1. The neutral red technique was employed to study the rate of filtration in Katelysia opima. 2. The weight specific water filtration was found to be greater for younger clams compared to the older ones. 3. The rate of water filtration increased with decreasing salinity. 4. Water filtration was found to increase as temperature increased, reaching a maximum at 35°C. but then sharply decreasing at 39°C. 5. Light had no significant effect on the rate of filtration. 6. Suspended matter was found to affect the rate of water filtration. 7. The rate of filtration was low at high pH and high in low pH. 8. The rate of water filtration was found to be faster during high tide than during low tide. 9. The presence of the parasitic crab, Pennotheris sp., in the mantle cavity of clams had a marked effect on the particle filtration. 10. Accidental cut of the siphon tips had no effect on the rate of filtration.

Notes on Cestodes in Paddlefish, Polyodon spathula (Walbaum), from the Missouri River

In the winter of 1952 an investigation was made of reports from a fishmarket in St. Joseph, Missouri, that almost all paddlefish, Polyodon spathula, caught from nearby sections of the Missouri River had wormy flesh and were therefore commercially undesirable. Four paddlefish were purchased from this market in a period of four months and were examined for parasites. All four fish were heavily parasitized by the following cestodes: Marsipometra hastata (Linton 1897), Marsipometra parva Simer, 1930 and Marsipometra confusa Simer, 1930. It was not uncommon to find these cestodes on the outside of the fish, on the floor, and on the wrapping paper a few hours after the fish had been killed and placed in a walk-in refrigerator at 00 C. However, most individual cestodes were located in the pyloric ceca and spiral valve, a few being found in the stomach. This was in agreement with reports by Linton (1897), Simer (1930), and Beaver and Simer (1940). During evisceration an accidental cut of the intestine would result in an outward migration of the above tapeworms.