Ann Clin Microbiol 2024;27:49-67. Practical guide for the diagnosis of helminth ova in stools
Table 4. Morphological summary on the helminth ova with an operculum in Korea
Helminth species Size (㎛) Morphological characteristics
Clonorchis sinensis 27-35 × 15-20 Conspicuous operculum & shoulder rim, muskmelon pattern wrinkles on surface
Metagonimus yokogawai 28-35 × 17-18 Inconspicuous operculum & shoulder rim, no wrinkles, maximum width in median
Metagonimus miyatai 28-33 × 17-18 Same with those of M. yokogawai
Metagonimus takahashii 32-36 × 18-20 Same with those of M. yokogawai
Heterophyes nocens 24-29 × 15-17 Inconspicuous operculum & shoulder rim, ovoid with a little pointed both end
Heterophyopsis continua 24-28 × 16-19 Inconspicuous operculum & shoulder rim, broadly oval, no wrinkles
Stellantchasmus falcatus 25-29 × 12-14 Inconspicuous operculum & shoulder rim, elongated & oval, no wrinkles
Stictodora fuscata 34-38 × 20-23 Inconspicuous operculum & shoulder rim, oval with thick shell, no wrinkles
Pygidiopsis summa 20-23 × 11-13 Apparent operculum, small & pyriform, no wrinkles
Gymnophalloides seoi 20-25 × 11-15 Big & wide operculum, no knob, no wrinkles, elliptical with very thin shell
Plagiorchis muris 32-38 × 20-24 Conspicuous operculum, elliptical with thick shell, yellow
Eurytrema pancreaticum 48-53 × 25-33 Inconspicuous operculum, elliptical with thick shell, dark brown
Isthmiophora hortensis 125-138 × 70-80 Small operculum, ovoid to elliptical with thin shell & abopercular wrinkles
Echinostoma cinetorchis 99-116 × 65-76 Nearly same with those of I. hortensis
Echinochasmus japonicus 75-87 × 52-63 Tiny operculum, broad oval with thin shell & abopercular wrinkles
Paragonimus westermani 80-100 × 45-65 Wide operculum, asymmetrical with shoulder rim & abopercular thickening
Neodiplostomum seoulense 86-99 × 55-63 Inapparent operculum, asymmetrical, elliptical with thin shell
Fasciola hepatica 143-147 × 78-82 Small operculum, elliptical with thin shell
Diphyllobothriids* 58-76 × 40-51 Small operculum, ovoid with thick shell & sometimes abopercular knob

*including Dibothriocephalus nihonkaiensis (syn. Diphyllobothrium nihonkaiense) prevalent species in Korea.