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CT Findings of Surgically Verified Acute Invasive Small Bowel Anisakiasis Resulting in Small Bowel Obstruction

Authors
 Sang Wook Yoon  ;  Jeong Sik Yu  ;  Ki Whang Kim  ;  Hee Jin Kim  ;  Jeong Yun Shim  ;  Mi Suk Park 
Citation
 YONSEI MEDICAL JOURNAL, Vol.45(4) : 739-742, 2004 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2004
MeSH
Anisakiasis/complications ; Anisakiasis/diagnostic imaging* ; Anisakiasis/surgery ; Humans ; Intestinal Obstruction/diagnostic imaging* ; Intestinal Obstruction/parasitology* ; Intestinal Obstruction/surgery ; Intestine, Small/diagnostic imaging ; Intestine, Small/parasitology* ; Male ; Middle Aged ; Tomography, X-Ray Computed*
Keywords
Parasites ; anisakiasis ; intestine ; infection ; computed tomography
Abstract
Acute invasive small bowel anisakiasis is an extremely rare cause of small bowel obstruction. The authors report a case of surgically verified small bowel anisakiasis resulting in small bowel obstruction. A 54-year-old man presented with suddenly developed diffuse abdominal pain after ingestion of raw fish. The peripheral blood examination showed leukocytosis without eosinophilia. CT showed a long segment of thickened small bowel accompanied by a focal narrowed portion and combined with ascites. When these findings are noted in patients with a history of recent ingestion of raw or undercooked fish, the diagnosis of small bowel anisakiasis should be considered in order to avoid application of unnecessary surgical treatment, in spite of the severity of the abdominal pain and bowel obstruction.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki Whang(김기황)
Park, Mi-Suk(박미숙) ORCID logo https://orcid.org/0000-0001-5817-2444
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112871
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