A case of <i>anisakiasis</i> causing intestinal obstruction

Brief Communication


Korean J Parasitol. 1991 Mar;29(1):93-96. English. Published online Mar 20, 1994. http://dx.doi.org/10.3347/kjp.1991.29.1.93
Copyright © 1991 by The Korean Society for Parasitology


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.

References


1.	Cho SY, et al. Seoul J Med 1980;21:203–208.

2.	Han DS, et al. J Korean Med Ass 1988;31:645–650.

3.	Hong ST, Lee SH. Histopathological and serological observations on experimental anisakiasis of rabbits. Korean J Parasitol 1987;25(2):168–180.

4.	Jang GL, et al. Korean J Int Med 1989;37:403–410.

5.	Kim CH, Chung BS, Moon YI, Chun SH. [A case report on human infection with Anisakis sp. in Korea]. Korean J Parasitol 1971;9(1):39–43.

6.	Ko GH, Park CK, Kong HJ, Choi CS, Lee SH, Hong SJ. Intestinal Anisakiasis. Korean J Pathol 1988;22(2):154–158.

7.	Lee AH, Kim SM, Choi KY. A Case of Human Infection with the Larva of Terranova Type A. Korean J Pathol 1985;19(4):463–467.

8.	Lee KH, et al. Korean J Int Med 1981;24:1220–1227.

9.	Seo BS, Chai JY, Lee SH, Hong ST, Seo JW, Noh SH. A human case infected by the larva of Terranova type A in Korea. Korean J Parasitol 1984;22(2):248–252.