A case of anisakiasis of the small intestine with symptoms like intestinal obstruction.

概要

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A 30-year-old man complaining of abdominal pain was admitted to the hospital with a diagnosis of ileus. Despite conservative therapy, ileus symptoms worsered. Emergency operation was performed. At laparotomy, we found a 20cm reddness of the small intestine 110cm from the terminal ileum and partially white debris. A partial excision of the small intestine was performed. Macroscopic findings revealed diffuse edematous change of the mucosa and the ulcerative lesion with prominent redness. Histopathological findings revealed eosinophilic inflammation and larvae of the family Anisakidae in submucosal tissue. Anisakiasis of the small intestine is a relatively rare disease and often presents difficulty in preoperative diagnosis. We report a case of anisakiasis of the small intestine presented with symptoms like intestinal obstruction.
日本臨床外科学会の論文