Case Report
Copyright ©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Jul 7, 2006; 12(25): 4106-4108
Published online Jul 7, 2006. doi: 10.3748/wjg.v12.i25.4106
Small bowel anisakiosis: A report of two cases
Shigetoshi Matsuo, Takashi Azuma, Seiya Susumu, Satoshi Yamaguchi, Shirou Obata, Tomayoshi Hayashi
Shigetoshi Matsuo, Takashi Azuma, Seiya Susumu, Satoshi Yamaguchi, Department of Surgery, Nagasaki Prefectural Shimabara Hospital, Japan
Shirou Obata, Department of Radiology, Nagasaki Prefectural Shimabara Hospital, Japan
Tomayoshi Hayashi, Department of Pathology, Nagasaki Prefectural Shimabara Hospital, Japan
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Shigetoshi Matsuo, Department of Surgery, Nagasaki Prefectural Shimabara Hospital, 7895 Shimokawajiri, Shimabara, Nagasaki 855-0861, Japan. shigetoshi-matsuo@pref.nagasaki.lg.jp
Telephone: +81-957-631145
Received: March 14, 2006
Revised: March 22, 2006
Accepted: March 27, 2006
Published online: July 7, 2006
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.

Keywords: Anisakiosis, Small intestine