Department of Pediatric Surgery, Split University School of Medicine, Croatia.
Scott Med J. 2013 Feb;58(1):e32-6. doi: 10.1177/0036933012474616.
Anisakiasis is caused by human infection by the anisakis larvae, a marine nematode found in undercooked or raw fish. Infection with the parasite Anisakis simplex is common in Japan and northern European countries. With the increased popularity of eating sushi and raw fish infection with anisakis is expected to rise.
We present the case of a 14-year-old boy who had eaten sushi 3 days before the onset of symptoms and had small bowel obstruction caused by enteric anisakiasis. To the best of our knowledge this is the first reported case of intestinal anisakiasis presenting as a bowel obstruction in a child.
Enteric anisakiasis is very rare, and its diagnosis is usually made after laparotomy. Nevertheless, when signs of acute abdomen develop after the ingestion of raw fish, such as sushi or sashimi, the possibility of enteric anisakiasis should be considered.
异尖线虫病是由人类感染异尖线虫幼虫引起的，这种海洋线虫存在于未煮熟或生的鱼类中。寄生虫感染异尖线虫在日本和北欧国家很常见。随着人们对寿司和生鱼片的喜爱程度增加，预计异尖线虫的感染率将会上升。
我们报告了一例 14 岁男孩的病例，他在出现症状前 3 天吃了寿司，由于肠内异尖线虫病导致小肠梗阻。据我们所知，这是首例儿童肠内异尖线虫病表现为肠梗阻的报道。
肠内异尖线虫病非常罕见，其诊断通常在剖腹手术后进行。然而，当摄入生鱼片（如寿司或刺身）后出现急性腹痛等症状时，应考虑肠内异尖线虫病的可能性。
