Yoon Sang Wook, Yu Jeong Sik, Park Mi Suk, Shim Jeong Yun, Kim Hee Jin, Kim Ki Whang
Department of Diagnostic Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, 146-92 Dogok-dong, Gangnam-gu, Seoul 135-270, Korea.
Yonsei Med J. 2004 Aug 31;45(4):739-42. doi: 10.3349/ymj.2004.45.4.739.
Acute invasive small bowel anisakiasis is an extremely rare cause of small bowel obstruction. The authors report a case of surgically verified small bowel anisakiasis resulting in small bowel obstruction. A 54-year-old man presented with suddenly developed diffuse abdominal pain after ingestion of raw fish. The peripheral blood examination showed leukocytosis without eosinophilia. CT showed a long segment of thickened small bowel accompanied by a focal narrowed portion and combined with ascites. When these findings are noted in patients with a history of recent ingestion of raw or undercooked fish, the diagnosis of small bowel anisakiasis should be considered in order to avoid application of unnecessary surgical treatment, in spite of the severity of the abdominal pain and bowel obstruction.
急性侵袭性小肠异尖线虫病是小肠梗阻极为罕见的病因。作者报告了一例经手术证实的导致小肠梗阻的小肠异尖线虫病病例。一名54岁男性在食用生鱼后突然出现弥漫性腹痛。外周血检查显示白细胞增多但无嗜酸性粒细胞增多。CT显示小肠长段增厚，伴有局部狭窄部分，并伴有腹水。当近期有食用生鱼或未煮熟鱼史的患者出现这些表现时，尽管腹痛和肠梗阻严重，为避免进行不必要的手术治疗，应考虑小肠异尖线虫病的诊断。
