Journal List > Korean J Gastroenterol > v.72(1) > 1099109

TOOLS
Kim, Park, Park, Jeon, Jung, Son, Choi, and Kim: Anisakiasis Induced Segmental Jejunum Obstruction
Case Report

Korean J Gastroenterol 2018;72(1):33-36.

Published online: 4 October 2018

DOI: https://doi.org/10.4166/kjg.2018.72.1.33

Anisakiasis Induced Segmental Jejunum Obstruction

Beom Hee Kim, Hee Ug Park, Seung Keun Park, Soung-min Jeon, Chan Woo Jung, Chang Mok Son1, Hyun Wook Choi2, Hye Sook Kim3

Department of Internal Medicine, Maryknoll Hospital, Busan, Korea

1Department of General surgery, Maryknoll Hospital, Busan, Korea

2Department of Radiology, Maryknoll Hospital, Busan, Korea

3Department of Pathology, Maryknoll Hospital, Busan, Korea

Correspondence to: Beom Hee Kim, Department of Internal Medicine, Maryknoll Hospital, 121 Junggu-ro, Jung-gu, Busan 48972, Korea. Tel: +82-51-465-8801, Fax: +82-51-465-8802, E-mail: bumhee7@hanmail.net

Received 14 February 2018       Revised 8 April 2018       Accepted 9 April 2018

Copyright © 2018 Korean Ophthalmological Society

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Human anisakiasis is a disease caused by an infestation of the third stage larvae of family anisakidae. The ingested larvae invade the gastrointestinal wall, causing clinical symptoms that include abdomen pain, nausea, and vomiting. Although enteric anisakiasis is extremely rare, it can induce intestinal obstruction. We report a case in which emergency surgery was needed due to intestinal obstruction that coincided with symptoms related to anisakiasis, along with a brief literature review.

Keywords: Anisakiasis, Intestinal obstruction

References

1. Seo BS. Clinical Parasitology. 3rd ed.Seoul: Ilchokak;1997.
2. van Thiel P, Kuipers FC, Roskam RT. A nematode parasitic to herring, causing acute abdominal syndromes in man. Trop Geogr Med. 1960; 12:97–113.
3. Van Thiel PH. The present state of anisakiasis and its causative worms. Trop Geogr Med. 1976; 28:75–85.
4. Kim CH, Chung BS, Moon YI, Chun SH. A case report on human infection with Anisakis sp. in Korea. Korean J Parasitol. 1971; 9:39–43.
crossref
5. Lee KH, Koo JT, Song JH, Hyun MS, Jhi CJ. Acute gastric anisa-kiasis-endoscopic, radiologic diagnosis and its management. Korean J Med. 1981; 24:1220–1227.
6. Han DS, Han YB, Park DL, Kim SH, Kim SS. Clinical study of anisakiasis. J Korean Med Assoc. 1988; 31:645.
7. Chapman HB, Daniel HC. Pathology of tropical and extraordinary disease. Volume 2. 2nd ed.Washington, D.C: Armed Forces Institute of Pathology;1976.
8. Park SH, Suh JM, Shim KS, Baeg NJ, Kim BS, Moon IS. A case report of intestinal anisakiasis. Korean J Gastrointest Endosc. 1990; 10:373–375.
9. Pinkus GS, Collidge C, Little MD. Intestinal anisakiasis. first case report from North America. Am J Med. 1975; 59:114–120.
10. Ishikura H, Kikuchi K. Intestinal anisakiasis in japan: infected fish, sero-immunological diagnosis, and prevention. 2nd ed.Tokyo: Springer-Verlag Berlin and Heidelberg;1990.
11. Takano Y, Gomi K, Endo T, et al. Small intestinal obstruction caused by anisakiasis. Case Rep Infect Dis. 2013; 2013:401937.
crossref
12. Kojima G, Usuki S, Mizokami K, Tanabe M, Machi J. Intestinal anisakiasis as a rare cause of small bowel obstruction. Am J Emerg Med. 2013; 31:1422. e1-e2.
crossref
13. Shrestha S, Kisino A, Watanabe M, et al. Intestinal anisakiasis treated successfully with conservative therapy: importance of clinical diagnosis. World J Gastroenterol. 2014; 20:598–602.
crossref
14. Matsuo S, Azuma T, Susumu S, Yamaguchi S, Obata S, Hayashi T. Small bowel anisakiasis: a report of two cases. World J Gastroenterol. 2006; 12:4106–4108.

Fig. 1.
A plain abdominal X-ray. Prominent sentinel loop and dilated loop.
kjg-72-33f1.tif
Fig. 2.
Abdominal-pelvic CT findings. Long segmental bowel wall thickening & well enhancement on mid to terminal ileum (arrow). Mesenteric infiltration & fluid collection along dilated loop. CT, computed tomography.
kjg-72-33f2.tif
Fig. 3.
Intraoperation findings. Bowel dilatation on proximal to middle jejunum and impending perforation.
kjg-72-33f3.tif
Fig. 4.
Gross findings. Diffuse edematous mucosa of small bowel which shows a focal hemorrhage within a central pin-point sized erosion (arrow).
kjg-72-33f4.tif
Fig. 5.
Microscopic findings. An eosinophilic abscess containing a fragmented parasitic worm in the a muscle coats of the small bowel (H&E stain, ×100).
kjg-72-33f5.tif
TOOLS
Similar articles