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Case Reports
, 12 (25), 4106-8

Small Bowel Anisakiosis: A Report of Two Cases

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Case Reports

Small Bowel Anisakiosis: A Report of Two Cases

Shigetoshi Matsuo et al. World J Gastroenterol.

Abstract

Small bowel stenosis is a serious complication of intestinal anisakiosis. The aim of this report is to investigate whether severe stenosis of the small intestine can be conservatively managed. We treated two patients with severe stenosis of the small intestine caused by anisakiosis. Surgical intervention was eventually performed on the 23rd and 35th in the hospital, respectively. Histopathological examination of the resected specimens revealed that the intestinal wall had been completely damaged by the inflammatory reaction of anisakiosis, and that the damage was irreversible, thereby suggesting that laparotomy is needed in cases of severe small bowel stenosis caused by intestinal anisakiosis, even if a long period of conservative treatment for the intestinal anisakiosis allowed the patient to pass successfully through the acute phase.

Figures

Figure 1
Figure 1
UGI series showing a narrow segment of the small intestine with the disappearance of Kerckring’s folds.
Figure 2
Figure 2
Resected specimens revealed histologically a complete destruction of the jejunal wall (D). P: Preserved wall of the intestine with an infiltration of inflammatory cells.
Figure 3
Figure 3
CT showing a remarkable thickening of the intestinal wall.
Figure 4
Figure 4
UGI series showing a narrow segment of the small intestine with the preservation of Kerckring’s folds.
Figure 5
Figure 5
Resected speci-mens revealed histologically a perforated ulceration (U) with an infiltration of inflammatory cells. D: Destructive wall of the intestine.

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