A Case of Small Bowel Anisakiasis Developed Bowel Obstruction

Mizoguchi Koji, Ishiguro Hideyuki, Matsuo Yoichi, Terashita Yukio, Sagawa Hiroyuki, Takeyama Hiromitsu

doi:10.11231/jaem.36.1261

Bibliographic Information

Other Title

腸閉塞症で発症した小腸アニサキス症の1例

Description

<p>A 72-year-old man was admitted to our hospital with the complaints of severe right lower abdominal pain and abdominal distension. Physical examination revealed rebound tenderness without muscle guarding. Plain abdominal radiographs showed signs of small bowel obstruction. Abdominal computed tomography showed ascites around the liver and in the abdominal cavity, localized thickening of the intestinal wall with good contrast enhancement, and no signs of a closed loop. Emergency surgery was performed because of the small bowel obstruction of uncertain etiology. Laparoscopically, we located a significant, locally edematous lesion near the terminal ileum. There was no internal hernia or strangulation. We made a small incision and resected the edematous ileum, which was regarded as the cause of the obstruction. The histopathological examination showed an anisakis body in the submucosal layer and a parasitic granuloma. The cause of the small bowel obstruction was considered to be ileal edema caused by anisakiasis of the ileum.</p>

Journal

Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)

Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 36 (7), 1261-1264, 2016

Japanese Society for Abdominal Emergency Medicine

Keywords

Details 詳細情報について

CRID: 1390001204738744832

NII Article ID: 130005462643

DOI: 10.11231/jaem.36.1261

ISSN: 18824781; 13402242

Text Lang: ja

Data Source

JaLC
CiNii Articles

Abstract License Flag: Disallowed

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