Division of Gastroenterology and Hepatology, Nagaoka Red Cross Hospital, 2-297-1, Senshu, Nagaoka, Niigata 940-2085, Japan.
World J Gastroenterol. 2010 Apr 14;16(14):1804-7. doi: 10.3748/wjg.v16.i14.1804.
We report an extremely rare case of adult intussusception caused by anisakiasis. A 41-year-old man was admitted into our hospital for right lower abdominal colicky pain. Ultrasonography and computed tomography revealed the presence of intussusception. As pneumo-dynamic resolution by colonoscopy failed, surgery was performed. The anisakis body was found in the submucosal layer of the resection specimen. The patient was discharged 9 d after the operation. Anisakiasis may cause intussusception in any country where sushi or sashimi now exists as a popular food. If suspicious, detailed clinical interview as to food intake prior to symptom development is crucial.
我们报告了一例由异尖线虫病引起的成人肠套叠的极罕见病例。一名 41 岁男性因右下腹痛就诊于我院。超声和 CT 检查提示肠套叠。由于结肠镜下气动复位失败,遂行手术治疗。在切除标本的黏膜下层发现了异尖线虫体。患者术后 9 天出院。在现在寿司或生鱼片作为流行食品的任何国家,异尖线虫病都可能导致肠套叠。如果怀疑该病,在出现症状之前,详细询问饮食摄入情况至关重要。