Yorimitsu Nobukazu, Hiraoka Atsushi, Utsunomiya Hiroki, Imai Yusuke, Tatsukawa Haruka, Tazuya Nayu, Yamago Hiroka, Shimizu Yukou, Hidaka Satoshi, Tanihira Tetsuya, Hasebe Aki, Miyamoto Yasunao, Ninomiya Tomoyuki, Abe Masanori, Hiasa Yoichi, Matsuura Bunzo, Onji Morikazu, Michitaka Kojiro
Gastroenterology Center, Ehime Prefectural Central Hospital, Japan.
Intern Med. 2013;52(2):223-6. doi: 10.2169/internalmedicine.52.8629. Epub 2013 Jan 15.
A 67-year-old woman presented with periumbilical pain. Contrast-enhanced computed tomography findings indicated intussusception of the ascending colon without ischemia or necrosis, and we performed successful colonoscopy to treat the condition. Furthermore, an edematous area caused by anisakis was detected in the ascending colon and the anisakis was removed. The patient noted that she had eaten raw fish one day before the symptoms developed. Although colonic intussusception caused by anisakiasis is extremely rare, colonoscopy should be performed in colonic intussusception patients suspected of having anisakiasis in order to avoid invasive resection.
一名67岁女性因脐周疼痛就诊。增强计算机断层扫描结果显示升结肠套叠，无缺血或坏死，我们成功进行了结肠镜检查以治疗该病症。此外，在升结肠中检测到由异尖线虫引起的水肿区域，并取出了异尖线虫。患者指出症状出现前一天她食用了生鱼。虽然异尖线虫病引起的结肠套叠极为罕见，但对于怀疑有异尖线虫病的结肠套叠患者，应进行结肠镜检查以避免侵入性切除。
