Small Intestinal Obstruction Caused by Anisakiasis
Small intestinal anisakiasis is a rare disease that is very difficult to diagnose, and its initial diagnosis is often surgical. However, it is typically a benign disease that resolves with conservative treatment, and unnecessary surgery can be avoided if it is appropriately diagnosed. This case repo...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2013/401937 |
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| author | Yuichi Takano Kuniyo Gomi Toshiyuki Endo Reika Suzuki Masashi Hayashi Toru Nakanishi Ayumi Tateno Eiichi Yamamura Kunio Asonuma Satoshi Ino Yuichiro Kuroki Masatsugu Nagahama Kazuaki Inoue Hiroshi Takahashi |
| author_facet | Yuichi Takano Kuniyo Gomi Toshiyuki Endo Reika Suzuki Masashi Hayashi Toru Nakanishi Ayumi Tateno Eiichi Yamamura Kunio Asonuma Satoshi Ino Yuichiro Kuroki Masatsugu Nagahama Kazuaki Inoue Hiroshi Takahashi |
| author_sort | Yuichi Takano |
| collection | DOAJ |
| description | Small intestinal anisakiasis is a rare disease that is very difficult to diagnose, and its initial diagnosis is often surgical. However, it is typically a benign disease that resolves with conservative treatment, and unnecessary surgery can be avoided if it is appropriately diagnosed. This case report is an example of small intestinal obstruction caused by anisakiasis that resolved with conservative treatment. A 63-year-old man admitted to our department with acute abdominal pain. A history of raw fish (sushi) ingestion was recorded. Abdominal CT demonstrated small intestinal dilatation with wall thickening and contrast enhancement. Ascitic fluid was found on the liver surface and in the Douglas pouch. His IgE (RIST) was elevated, and he tested positive for the anti-Anisakis antibodies IgG and IgA. Small intestinal obstruction by anisakiasis was highly suspected and conservative treatment was performed, ileus tube, fasting, and fluid replacement. Symptoms quickly resolved, and he was discharged on the seventh day of admission. Small intestinal anisakiasis is a relatively uncommon disease, the diagnosis of which may be difficult. Because it is a self-limiting disease that usually resolves in 1-2 weeks, a conservative approach is advisable to avoid unnecessary surgery. |
| format | Article |
| id | doaj-art-732fccae754c44aa8d70440b89a5faea |
| institution | OA Journals |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-732fccae754c44aa8d70440b89a5faea2025-08-20T02:06:16ZengWileyCase Reports in Infectious Diseases2090-66252090-66332013-01-01201310.1155/2013/401937401937Small Intestinal Obstruction Caused by AnisakiasisYuichi Takano0Kuniyo Gomi1Toshiyuki Endo2Reika Suzuki3Masashi Hayashi4Toru Nakanishi5Ayumi Tateno6Eiichi Yamamura7Kunio Asonuma8Satoshi Ino9Yuichiro Kuroki10Masatsugu Nagahama11Kazuaki Inoue12Hiroshi Takahashi13Division of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanDivision of Gastroenterology, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa 227-0043, JapanSmall intestinal anisakiasis is a rare disease that is very difficult to diagnose, and its initial diagnosis is often surgical. However, it is typically a benign disease that resolves with conservative treatment, and unnecessary surgery can be avoided if it is appropriately diagnosed. This case report is an example of small intestinal obstruction caused by anisakiasis that resolved with conservative treatment. A 63-year-old man admitted to our department with acute abdominal pain. A history of raw fish (sushi) ingestion was recorded. Abdominal CT demonstrated small intestinal dilatation with wall thickening and contrast enhancement. Ascitic fluid was found on the liver surface and in the Douglas pouch. His IgE (RIST) was elevated, and he tested positive for the anti-Anisakis antibodies IgG and IgA. Small intestinal obstruction by anisakiasis was highly suspected and conservative treatment was performed, ileus tube, fasting, and fluid replacement. Symptoms quickly resolved, and he was discharged on the seventh day of admission. Small intestinal anisakiasis is a relatively uncommon disease, the diagnosis of which may be difficult. Because it is a self-limiting disease that usually resolves in 1-2 weeks, a conservative approach is advisable to avoid unnecessary surgery.http://dx.doi.org/10.1155/2013/401937 |
| spellingShingle | Yuichi Takano Kuniyo Gomi Toshiyuki Endo Reika Suzuki Masashi Hayashi Toru Nakanishi Ayumi Tateno Eiichi Yamamura Kunio Asonuma Satoshi Ino Yuichiro Kuroki Masatsugu Nagahama Kazuaki Inoue Hiroshi Takahashi Small Intestinal Obstruction Caused by Anisakiasis Case Reports in Infectious Diseases |
| title | Small Intestinal Obstruction Caused by Anisakiasis |
| title_full | Small Intestinal Obstruction Caused by Anisakiasis |
| title_fullStr | Small Intestinal Obstruction Caused by Anisakiasis |
| title_full_unstemmed | Small Intestinal Obstruction Caused by Anisakiasis |
| title_short | Small Intestinal Obstruction Caused by Anisakiasis |
| title_sort | small intestinal obstruction caused by anisakiasis |
| url | http://dx.doi.org/10.1155/2013/401937 |
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