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A case of anisakiasis causing intestinal obstruction
L S Kim,Y H Lee,S Kim,H R Park,* and S Y Cho**
Department of Surgery, College of Medicine, Hallym University, Seoul 150-020, Korea.
Abstract
A 31-year old salesman living in Seoul developed suddenly abdominal pain due to intestinal obstruction. Exploratory laparotomy exhibited segmental jejunal cellulitis caused by penetrating Anisakis larva. The patient had eaten raw fish. The typical history of intestinal anisakiasis was presented with a short review of Korean patients of anisakiasis.
Figures
Figs. 1-6 Fig. 1. Erect view of simple abdomen: Gaseous distension of small bowels with different air fluid levels were noted.
Fig. 2. Through a Miller-Abbott tube, barium was introduced. In mid-jejunal loop, a narrowing of lumen was found (arrow).
Fig. 3. A living white thread-like nematode was recognized at hemorrhagic focus.
Fig. 4. The nematode causing obstruction was partly degenerated.
Fig. 5. Transmural inflammation of jejunum with extensive cell infiltrations.
Fig. 6. Cross section of the nematode disclosed typical Y-shaped lateral cords of Anisakis sp.
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