Lorenz D, Lorenz G, Warzok R, Attig D
Klinik für Chirurgie, Ernst-Moritz-Arndt-Universität Greifswald.
Chirurg. 1988 Aug;59(8):552-4.
Two cases of anisaciasis caused by eating of improperly prepared herrings which were infested with larval nematodes are reported. The acute type with a stenosing process in the small intestinal wall existed in both cases which resulted in an ileus. Therapy was resection of the affected intestinal part with end-to-end-anastomosis. The morphological proof of larval nematodes, which penetrate from lumen into the eosinophilic granulomata, pseudotumours and eosinophilic microabscesses are important histological findings. It should be considered the possibility of a herring worm disease in the case of an acute abdomen caused by an inflammatory small bowel stenosis.
报告了两例因食用感染幼虫线虫的腌制不当的鲱鱼而引起的异尖线虫病。两例均为急性型，小肠壁有狭窄过程，导致肠梗阻。治疗方法是切除受影响的肠段并进行端端吻合。幼虫线虫从肠腔穿透进入嗜酸性肉芽肿、假肿瘤和嗜酸性微脓肿的形态学证据是重要的组织学发现。对于由炎症性小肠狭窄引起的急腹症，应考虑鲱鱼蠕虫病的可能性。
