Appleby D, Kapoor W, Karpf M, Williams S
Arch Surg. 1982 Jun;117(6):836. doi: 10.1001/archsurg.1982.01380300076016.
A case of small-bowel obstruction occurred secondary to an uncommon parasitic disease, anisakiasis. Intestinal obstruction is a rare manifestation of this disease. Anisakiasis may be seen initially with nausea and vomiting or may mimic acute appendicitis or Crohn's disease. The predisposing factor in all cases is the ingestion of raw fish, and the disease is preventable by cooking fish at greater than 60 degrees C for a short time or by freezing at less than -20 degrees C for more than 24 hours. Anisakiasis should be considered in the differential diagnosis of small-bowel obstruction in patients whose diet includes raw fish.
一例小肠梗阻继发于一种罕见的寄生虫病——异尖线虫病。肠梗阻是该疾病的罕见表现。异尖线虫病最初可能表现为恶心和呕吐，也可能类似急性阑尾炎或克罗恩病。所有病例的诱发因素都是食用生鱼，通过将鱼在高于60摄氏度的温度下短时间烹饪或在低于零下20摄氏度的温度下冷冻超过24小时可预防该疾病。对于饮食中包含生鱼的小肠梗阻患者，鉴别诊断时应考虑异尖线虫病。
