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1.
J Craniofac Surg ; 33(7): e692-e694, 2022 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-35184111

RESUMO

ABSTRACT: Anisakiasis is a parasitic infection caused by ingesting raw or undercooked fish and seafood infected with Anisakis larvae. Anisakis genus is mostly found in the mucosal or submucosal layer of the stomach and intestine. However, the reports of anisakiasis in tonsils are highly uncommon. A 54-year-old woman with clinical features of sore throat and foreign-body sensation for 10 days after eating raw and undercooked fish. A wriggling worm was noted beneath the mucosa of the right palatine tonsil upon endoscopic examination. The worm was immediately removed completely and histological examination revealed anisakiasis. Reports of anisakia-sis in the tonsils are scarce, but it should be considered at the initial physical examination of patients who visit the hospital for sore throat after eating raw fish. We report a case of anisakiasis in the palatine tonsils, which to date has been rarely reported in the literature.


Assuntos
Anisaquíase , Anisakis , Faringite , Animais , Anisaquíase/diagnóstico , Anisaquíase/parasitologia , Anisaquíase/cirurgia , Humanos , Larva , Tonsila Palatina/patologia , Tonsila Palatina/cirurgia , Alimentos Marinhos/parasitologia
2.
J Craniofac Surg ; 33(8): 2593-2597, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35184110

RESUMO

BACKGROUND: Reconstruction of eyelid margin defects following resection of upper-eyelid skin malignancies is typically performed using a lower eyelid switch flap, including eyelash reconstruction. However, a subsequent procedure for flap separation, and prolonged swelling of the flap may occur as a complication. OBJECTIVE: The authors performed anterior lamellar reconstruction using a sliding flap with excess upper eyelid skin, a procedure that is a less invasive and simpler. MATERIALS AND METHODS: The authors performed anterior lamellar reconstruction using a sliding flap in 7 patients with full-thickness upper eyelid margin defect after skin cancer resection. The mean age of the patients was 76.0 years. The horizontal width of the defect in our cohort ranged from 11 to 25 mm and the vertical width ranged from 5 to 10 mm. RESULTS: All the flaps and mucosal grafts were well taken, and none of the patients complained of lack of eyelash reconstruction. However, eyelid margin irregularity, possibly due to flap or mucosal graft contraction, was observed in 2 patients, and 1 patient developed keratoconjunctivitis. CONCLUSIONS: The sliding flap technique is a minimally invasive and simple procedure for wide eyelid margin reconstruction. However, 2 patients developed eyelid margin irregularities and 1 patient developed keratoconjunctivitis. Those complications might have occurred owing to the condition of posterior lamellar reconstruction. Therefore, for the successful use of a sliding flap for anterior lamellar reconstruction, the form of the eyelid edge and the choice of posterior lamellar reconstruction are key considerations. In future, we plan to establish a better reconstructive technique by accumulating more evidence.


Assuntos
Anisaquíase , Anisakis , Neoplasias , Animais , Humanos , Idoso , Anisaquíase/complicações , Anisaquíase/patologia , Anisaquíase/cirurgia , Edema , Pálpebras/cirurgia , Pálpebras/patologia , Neoplasias/complicações
3.
Gan To Kagaku Ryoho ; 49(13): 1482-1484, 2022 Dec.
Artigo em Japonês | MEDLINE | ID: mdl-36733109

RESUMO

A 36-year-old woman visited a previous doctor with lower abdominal pain and nausea. Her former doctor's upper gastrointestinal endoscopy and CT scan showed giant folds and wall thickening of the lower body of the stomach, and she was referred on suspicion of scirrhous gastric cancer. Similar findings were found on enhanced CT at our hospital. Endoscopic findings performed several days later showed red and thickened mucosa at the cardia, but no wall thickening and giant fold, and there were no findings suggestive of scirrhous gastric cancer. Biopsy showed no atypical cells, and a large number of eosinophils appeared in the lesion at the cardia. Eosinophilia and anisakis IgE antibody were positive and a diagnosis of gastric anisakiasis was made. She was eating grilled horse mackerel the day before her stomachache. At the same time, pruritus and edema around her right knee also appeared, and a dermatologist diagnosed her with anisakis-related eosinophil edema. One month later, CT scan and endoscopy were almost normal. A young woman referred on suspicion of scirrhous gastric cancer experienced a rare case diagnosed with gastric anisakiasis.


Assuntos
Anisaquíase , Neoplasias Gástricas , Feminino , Humanos , Neoplasias Gástricas/cirurgia , Neoplasias Gástricas/diagnóstico , Anisaquíase/diagnóstico , Anisaquíase/cirurgia , Gastroscopia , Dor Abdominal
4.
J Emerg Med ; 57(6): e175-e179, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31685366

RESUMO

BACKGROUND: Small bowel obstruction (SBO) is a common diagnosis made in the emergency department (ED). We present a case with an unusual underlying cause of SBO: extraintestinal infection with an Anisakis roundworm. CASE REPORT: A healthy young woman with no prior abdominal surgery presented with epigastric abdominal pain, nausea, and anorexia 1 day after eating a raw oyster. Laboratory studies were significant for 14% eosinophilia. Initial abdominal computed tomography (CT) showed small bowel inflammation and small-volume ascites. After discharge home, she returned on day 14 of illness with a closed-loop SBO, to which she was predisposed by an adhesion formed in association with an eosinophilic abscess containing an Anisakis roundworm. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Anisakiasis is an uncommon cause of common symptoms with which patients may present to EDs. The diagnosis should be considered in patients presenting with abdominal pain and recent ingestion of raw seafood, with suspicion raised further by the presence of focal gastric or small bowel inflammation and ascites on abdominal CT. Extraintestinal anisakiasis can cause inflammation leading to intraabdominal adhesions, a sequela of which is small bowel obstruction. If suspicion for gastric or intestinal anisakiasis is high, treatment with endoscopic removal or albendazole may be initiated.


Assuntos
Anisaquíase/complicações , Obstrução Intestinal/etiologia , Dor Abdominal/etiologia , Adulto , Animais , Anisaquíase/fisiopatologia , Anisaquíase/cirurgia , Anisakis/crescimento & desenvolvimento , Anisakis/fisiologia , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Feminino , Humanos , Obstrução Intestinal/patologia , Intestino Delgado/anormalidades , Intestino Delgado/fisiopatologia , Intestino Delgado/cirurgia , Náusea/etiologia , Alimentos Marinhos/efeitos adversos , Tomografia Computadorizada por Raios X/métodos
5.
Rev Esp Enferm Dig ; 109(1): 81-82, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28004963

RESUMO

Anisakiasis and endometriosis is rare cause of intestinal obstruction and even perforation, the latter being extremely rare. We report the case of a patient with intestinal obstruction that progress to perforation and whose differential diagnosis is complex. The interest in this clinical case lies in the unexpected histology of the surgical specimen after the intervention of the patient, because the intestinal endometriosis as intestinal anisakiasis are rare entities that make diagnosis difficult.


Assuntos
Abdome Agudo/diagnóstico , Anisaquíase/diagnóstico , Endometriose/diagnóstico , Enteropatias/diagnóstico , Abdome Agudo/diagnóstico por imagem , Abdome Agudo/cirurgia , Adulto , Anisaquíase/diagnóstico por imagem , Anisaquíase/cirurgia , Diagnóstico Diferencial , Endometriose/diagnóstico por imagem , Endometriose/cirurgia , Feminino , Humanos , Enteropatias/diagnóstico por imagem , Enteropatias/cirurgia , Perfuração Intestinal/diagnóstico , Perfuração Intestinal/diagnóstico por imagem
6.
Nihon Shokakibyo Gakkai Zasshi ; 114(8): 1460-1466, 2017.
Artigo em Japonês | MEDLINE | ID: mdl-28781357

RESUMO

A 35-year-old man attended our hospital with complaining of epigastric pain and vomiting. He was diagnosed with bowel intussusception based on the target sign revealed in the upper jejunum by abdominal computed tomography. However, the cause of the intussusception was not clear. Insertion of an endoscope into the jejunum revealed prominent edema in the upper part of the jejunum, and Anisakis simplex was identified at the site and removed. Symptoms rapidly improved after endoscopic treatment. We report this case because surgery was avoidable and because we are aware of no previous reports of small intestinal intussusception caused by anisakiasis that has been diagnosed and treated endoscopically.


Assuntos
Anisaquíase/complicações , Intussuscepção/etiologia , Doenças do Jejuno/diagnóstico por imagem , Adulto , Anisaquíase/diagnóstico por imagem , Anisaquíase/cirurgia , Endoscopia Gastrointestinal , Humanos , Intussuscepção/diagnóstico por imagem , Intussuscepção/cirurgia , Doenças do Jejuno/cirurgia , Masculino
7.
Clin J Gastroenterol ; 17(1): 143-147, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38085443

RESUMO

Anisakiasis is a parasitic infection caused by the ingestion of raw or undercooked seafood infected with Anisakis larvae. It generally affects the gastrointestinal tract, particularly the stomach, but very rare cases have been reported in which infection of the liver leads to the formation of inflammatory pseudotumors. We herein report an extremely rare case of an inflammatory pseudotumor induced by hepatic anisakiasis that was laparoscopically resected for the purpose of both diagnosis and treatment. A 51-year-old woman underwent a routine medical checkup by ultrasound examination, which incidentally detected a 15-mm mass on the surface of S6 of the liver. Because a malignant tumor could not be ruled out on several preoperative imaging studies, laparoscopic partial resection of the liver was performed. Histopathological examination revealed Anisakis larva in the inflammatory pseudotumor, suggesting hepatic anisakiasis. This report describes an extremely rare case of an inflammatory pseudotumor induced by hepatic anisakiasis. Because the preoperative diagnosis could not be obtained by several imaging modalities, laparoscopic liver resection with a sufficient margin might be suitable for diagnosis and treatment of this disease.


Assuntos
Anisaquíase , Anisakis , Granuloma de Células Plasmáticas , Animais , Feminino , Humanos , Pessoa de Meia-Idade , Anisaquíase/diagnóstico , Anisaquíase/cirurgia , Anisaquíase/parasitologia , Granuloma de Células Plasmáticas/diagnóstico por imagem , Granuloma de Células Plasmáticas/cirurgia , Estômago/patologia , Larva , Fígado/cirurgia , Fígado/patologia
8.
Am J Emerg Med ; 31(9): 1422.e1-2, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23786678

RESUMO

Anisakiasis, a parasitic infection by larvae of the nematode Anisakis found in raw or undercooked saltwater fish, mostly involves stomach but rarely small intestine. We report a rare case of a 61-year-old man who presented with abdominal pain and developed small bowel obstruction caused by intestinal anisakiasis. Abdominal computed tomography revealed segmental edema of the intestinal wall with proximal dilatation. The patient underwent urgent laparotomy because strangulated small bowel obstruction was suspected. A localized portion of the intestine around jejunoileal junction was found to be erythematous, edematous, and hardened, which was resected. The resected specimen showed a linear whitish worm, Anisakis simplex, penetrating into the intestinal mucosa. It is often clinically challenging to consider intestinal anisakiasis in the differential diagnosis because of its nonspecific abdominal symptoms and findings. Although gastrointestinal anisakiasis is still rare in the United States, the incidence is expected to rise given the growing popularity of Japanese cuisine such as sushi or sashimi. Anisakiasis should be considered as one of the differential diagnoses in patients with nonspecific abdominal symptoms after consumption of raw or undercooked fish.


Assuntos
Anisaquíase/complicações , Obstrução Intestinal/etiologia , Animais , Anisaquíase/diagnóstico , Anisaquíase/patologia , Anisaquíase/cirurgia , Anisakis , Serviço Hospitalar de Emergência , Humanos , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/parasitologia , Obstrução Intestinal/patologia , Obstrução Intestinal/cirurgia , Intestino Delgado/parasitologia , Intestino Delgado/patologia , Intestino Delgado/cirurgia , Masculino , Pessoa de Meia-Idade
9.
Foodborne Pathog Dis ; 10(5): 472-4, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23536984

RESUMO

Anisakiasis is a parasitic disease acquired by humans when ingesting raw or undercooked fish infected with L3 larvae of the nematode genus Anisakis or Pseudoterranova. Here we report the first case of human anisakiasis in China. The patient, male, 56 years old, Dalian citizen, was admitted into the hospital with vomiting, peripheral umbilicus and abdominal distension, and frequent mucous diarrhea. The patient was examined using an electronic gastroscope, which displayed a parasite residing in the stomach, and subsequently gastroscope-assisted surgery was implemented. A white round worm was removed from the patient and stained. It was identified as L3 larvae of Anisakis. After the removal of the L3 larvae of Anisakis, the inflammation symptoms disappeared. As the first report of clinical case of Anisakis infection in China, the morphology of L3 Anisakis larvae from the patient is described and discussed. We conclude that anisakiasis should be considered in patients who have a habit of eating raw fish and who display associated symptoms.


Assuntos
Anisaquíase/diagnóstico , Anisakis/isolamento & purificação , Estômago/parasitologia , Animais , Anisaquíase/parasitologia , Anisaquíase/cirurgia , Anisakis/citologia , China , Peixes/parasitologia , Gastroscópios , Humanos , Larva , Masculino , Pessoa de Meia-Idade
12.
Korean J Gastroenterol ; 56(3): 192-5, 2010 Sep.
Artigo em Coreano | MEDLINE | ID: mdl-20847609

RESUMO

Anisakiasis usually occurs in the stomach and can easily be diagnosed by digestive tract endoscopy as opposed to enteric anisakiasis which is very rare and difficult to be diagnosed definitively. The most important and useful tool in diagnosing enteric anisakiasis is obtaining an accurate patient history of having eaten raw fish before the onset of symptoms. We report a case of small bowel obstruction caused by acute invasive enteric anisakiasis. A 60-year-old woman visited the emergency room suffering from sudden abdominal pain. She had eaten raw fish 1 day before the onset of symptom. Radiologic studies showed small bowel obstruction. However, no definitive cause could be found. An emergency laparotomy revealed edematous and dilated proximal jejunum and a focal stenosis of the distal jejunum. Segmental resection of the jejunum was performed, and histopathological examination revealed enteric anisakiasis. The patient was discharged on the 7th day after surgery following an uneventful course of recovery.


Assuntos
Anisaquíase/diagnóstico , Obstrução Intestinal/diagnóstico , Doença Aguda , Animais , Anisaquíase/complicações , Anisaquíase/cirurgia , Anisakis/isolamento & purificação , Diagnóstico Diferencial , Feminino , Humanos , Obstrução Intestinal/diagnóstico por imagem , Obstrução Intestinal/etiologia , Intestino Delgado/patologia , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X
13.
Z Gastroenterol ; 47(10): 1059-61, 2009 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-19809956

RESUMO

Anisakiasis is caused by a fish parasite of the Nematode family. This kind of rare helminthozoonosis can mainly be found in countries where consumption of raw fish is traditionally high like Japan, the Netherlands, Pacific Islands, South Europe, Scandinavia, USA, and Canada. Man is the wrong hoste. Clinical manifestation depends on the localisation of penetration in the GI tract. In Japan, predominantly the stomach is affected in 97 % of cases, probably due to hypo- and achlorhydria; whereas mainly intestinal anisakiasis occurs in Europa. We report on a 67-year-old male patient with a gastric infestation of anisakiasis. The patient was on proton pump inhibitor which migh have caused the localisation of the infestation. The anisakis was an accidental endoscopic finding in a patient for control of an H. p.-positive gastric ulcer. Otherwise the patient was free of pain. The helminth (larva III) was endoscopically extracted. Thereafter, the patient remained in good health. Anisakis serology as well as repeated differential blood counts were without finding. The uneventful medical history and the normal blood findings indicate that our patient had a very early stage of infestation of anisakiasis. The patient reported no stay outside of Austria within the last years. However, he consumed on a regular basis "rolled pickled herring" produced by a well-known Viennese company for canned fish. This is the first documented case of this rare helminthozoonosis acquired in Austria.


Assuntos
Anisaquíase/diagnóstico , Anisaquíase/cirurgia , Idoso , Áustria , Humanos , Doenças Raras , Resultado do Tratamento
14.
Ann Ital Chir ; 80(1): 65-8, 2009.
Artigo em Italiano | MEDLINE | ID: mdl-19537127

RESUMO

OBJECTIVES: The AA report a case of a patient with acute abdomen caused by intestinal Anisakiasis, a fish-transmitted infection that results from ingestion of raw or improperly cooked fish contaminated by live larvae of Anisakis Simplex, a round worm from the order of Ascaridida. MATERIAL AND METHODS: A 33-year-old man, presented to the emergency room with severe upper abdominal pain, nausea and vomiting, without fever. The patient revealed that he had eaten pickled anchovies a few days before. RESULTS: On the exploratory laparotomy an edematous and stenotic tract of 15 cm of jejunum was found, and a segmental resection was performed. Histologically, the resected jejunum showed a conspicuous and diffuse inflammatory infiltration, predominantly made up of eosinophil granulocytes, numerous mucosal erosions and the presence in the submucosa of sections of parasites which were identified as Anisakis Simplex larvae. DISCUSSION: The ingestion of fish contaminated by Anisakis larva is often followed by the appearance of systemic or gastrointestinal symptoms due respectively to the direct larva localization and the allergic reaction to some parasite components. Diagnosis is made frequently difficult by clinical manifestations that could mimic symptoms of other diseases more common in Italy. CONCLUSIONS: Globalization has made Anisakiasis a more and more frequent disease worldwide, as increased mixture of different cultures and international travelling has allowed the spreading of risky feeding habits. That's why Anisakiasis should be considered in differential diagnosis of intestinal obstruction in patients with positive anamnesis for suspiciously cooked or conserved seafood eating.


Assuntos
Abdome Agudo/parasitologia , Anisaquíase/complicações , Anisakis/isolamento & purificação , Peixes/parasitologia , Internacionalidade , Doenças do Jejuno/parasitologia , Abdome Agudo/cirurgia , Adulto , Animais , Anisaquíase/cirurgia , Humanos , Doenças do Jejuno/cirurgia , Masculino , Náusea/parasitologia , Resultado do Tratamento , Vômito/parasitologia
15.
Intern Med ; 58(1): 63-66, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-30146603

RESUMO

Anisakiasis involves the stomach in most cases and occurs rarely in the small intestine. Anisakiasis in the small intestine is associated with abdominal pain and obstruction and is rarely associated with intestinal bleeding. Unlike in the stomach, anisakiasis in the small intestine is difficult to diagnose anatomically. The patient in this case study developed hypovolemic shock due to excessive bleeding and underwent emergency surgery. With the recent increase in the consumption of raw fish around the world, this report provides an important finding of bleeding in the small intestine due to an unknown cause.


Assuntos
Anisaquíase/diagnóstico , Endoscopia , Intestino Delgado , Dor Abdominal/etiologia , Anisaquíase/patologia , Anisaquíase/cirurgia , Hemorragia Gastrointestinal/etiologia , Humanos , Obstrução Intestinal/etiologia , Masculino , Pessoa de Meia-Idade , Alimentos Crus , Alimentos Marinhos
16.
Biomedica ; 39(2): 241-246, 2019 06 15.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31529811

RESUMO

Anisakiasis is a zoonotic parasitic disease caused by consumption of raw or undercooked fish or seafood infected with nematodes of the Anisakis, Pseudoterranova or Contracaecum genera. Here, we describe the first case of anisakiasis in Colombia and summarize the available literature. A 52-year-old female with a history of abrupt-onset sharp epigastric pain, nausea, vomit, diarrhea, and urticaria following fish consumption consulted the health service. The physical examination revealed moderate tenderness of the epigastric region; the laboratory evaluation showed leukocytosis and a simple X-ray and ECG showed no abnormalities. The diagnosis was made by endoscopic examination, which revealed a thickened gastric wall and a moving larval worm. An Anisakis larva was found and extracted endoscopically, which relieved the pain of the patient. Clinically, anisakiasis may present as a gastric, intestinal, extragastrointestinal or allergic disease. Diagnosis and treatment of anisakiasis are made by a dietary history, direct visualization and endoscopic extraction of possible larvae, which is the only effective therapy.


La anisakiasis es una enfermedad parasitaria zoonótica causada por el consumo de pescados o mariscos crudos o poco cocidos infectados con nematodos de los géneros Anisakis, Pseudoterranova y Contracaecum. Se describe el primer caso de anisakiasis en Colombia y se resume la literatura médica disponible. Una mujer de 52 años de edad consultó por dolor epigástrico agudo de inicio abrupto, náuseas, vómitos, diarrea y urticaria después de consumir pescado. El examen físico reveló sensibilidad moderada en el epigastrio. El examen de laboratorio evidenció leucocitosis, en tanto que la radiografía simple y el electrocardiograma no reflejaron ninguna anormalidad. El diagnóstico se hizo mediante una endoscopia de vías digestivas altas, la cual reveló engrosamiento de la pared gástrica y un parásito en movimiento. Se encontró una larva de Anisakis y se la extrajo por endoscopia, lo que alivió el dolor de la paciente. Clínicamente, la anisakiasis puede presentarse como una enfermedad gástrica, intestinal, en otros sistemas o alérgica. El diagnóstico se hace con base en la elaboración del historial alimentario del paciente y la visualización directa de las larvas; el único tratamiento efectivo consiste en su extracción endoscópica.


Assuntos
Anisaquíase/diagnóstico , Anisakis/isolamento & purificação , Peixes/parasitologia , Parasitologia de Alimentos , Alimentos Crus/efeitos adversos , Gastropatias/parasitologia , Urticária/etiologia , Albendazol/uso terapêutico , Animais , Anisaquíase/tratamento farmacológico , Anisaquíase/imunologia , Anisaquíase/cirurgia , Anisakis/crescimento & desenvolvimento , Anti-Helmínticos/uso terapêutico , Colômbia , Terapia Combinada , Feminino , Gastroscopia , Humanos , Larva , Pessoa de Meia-Idade , Alimentos Crus/parasitologia , Gastropatias/diagnóstico , Gastropatias/imunologia
17.
Korean J Radiol ; 9 Suppl: S56-60, 2008 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-18607128

RESUMO

The association of anisakiasis of the colon with colon cancer is rare and difficult to diagnose. Only one case of this type has been reported to date. In this study, we report a case of synchronous colon cancer and colonic anisakiasis. A 50-year-old woman was admitted for abdominal pain, and a volume-rendered surface-shaded image of CT colonography (CTC) revealed a concentric narrowing in the sigmoid colon and a segmental fold thickening in the ascending colon. A total colectomy was performed and the diagnosis of synchronous sigmoid colon cancer and anisakiasis of the ascending colon was confirmed. This case is the first reported visualization of synchronous colon cancer and colonic anisakiasis on a CTC.


Assuntos
Adenocarcinoma/complicações , Adenocarcinoma/diagnóstico por imagem , Anisaquíase/complicações , Anisaquíase/diagnóstico por imagem , Doenças do Colo/complicações , Doenças do Colo/diagnóstico por imagem , Colonografia Tomográfica Computadorizada , Neoplasias do Colo Sigmoide/complicações , Neoplasias do Colo Sigmoide/diagnóstico por imagem , Adenocarcinoma/cirurgia , Anisaquíase/cirurgia , Colectomia , Doenças do Colo/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias do Colo Sigmoide/cirurgia
18.
Surg Laparosc Endosc Percutan Tech ; 18(2): 216-8, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18427347

RESUMO

Small bowel anisakiasis is a relatively uncommon disease and there is only a few report of laparoscopic treatment for patients with small bowel anisakiasis. We report a case of ileal anisakiasis successfully treated by laparoscopy-assisted partial resection of the ileum. A 39-year-old Japanese man visited our hospital with right lower quadrant pain. Ultrasonography and computed tomography revealed a moderate amount of ascites and small bowel dilation. Laparoscopy performed to diagnose causes for peritonitis and ileus revealed an area of induration, 10 cm in length, and thickening of the wall of the distal ileum. Laparoscopy-assisted partial resection of the ileum was performed. An Anisakis spp. larva was found attached to the mucosa of the specimen. The patient was discharged on day 20 after surgery. Small bowel anisakiasis is often difficult to diagnose and to distinguish from other abdominal diseases. Laparoscopic examination is useful for diagnosis and treatment of this disorder.


Assuntos
Anisaquíase/cirurgia , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Doenças do Íleo/parasitologia , Doenças do Íleo/cirurgia , Laparoscopia , Adulto , Anisaquíase/diagnóstico por imagem , Humanos , Doenças do Íleo/diagnóstico por imagem , Laparoscopia/métodos , Masculino , Tomografia Computadorizada por Raios X
19.
Minerva Chir ; 62(1): 51-60, 2007 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17287696

RESUMO

Anisakidosis is a parasitic disease of the human gastrointestinal tract caused by ingestion of larvae of marine nematodes such as Anisakis spp. or, rarely, Pseudoterranova spp., present in raw or undercooked fish. We report the first series of gastric Anisakis infection (anisakiasis) from a single centre in Italy. In our department, we observed 3 cases, all in women who were urgently hospitalized following intense epigastric pain and vomiting, developed after the ingestion of raw fish. The patients underwent urgent gastroscopy within a few hours. In each, a worm was extracted from the gastric mucosa by means of biopsy forceps. This was followed by prompt clinical improvement. The worm was identified by its macroscopic and microscopic characteristics as an Anisakis spp. larva (L3). In 2 cases, laboratory tests revealed marked leukocytosis and eosinophilia in the peripheral blood 3-4 days after ingestion of the raw fish. The diagnosis of anisakiasis can be made by endoscopy, radiology and abdominal ultrasound, but is often made only at surgery. In the gastric form of the disease, urgent gastroscopy has both a diagnostic and a therapeutic role, because the worm can be removed by means of biopsy forceps.


Assuntos
Anisaquíase/cirurgia , Doença Aguda , Animais , Anisaquíase/parasitologia , Anisakis/ultraestrutura , Feminino , Humanos , Itália , Microscopia Eletrônica de Varredura , Pessoa de Meia-Idade
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