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World J Gastroenterol. Apr 14, 2010; 16(14): 1804-1807
Published online Apr 14, 2010. doi: 10.3748/wjg.v16.i14.1804
Published online Apr 14, 2010. doi: 10.3748/wjg.v16.i14.1804
Intestinal anisakiasis can cause intussusception in adults: An extremely rare condition
Tomofumi Miura, Junpei Tsuchiya, Junichiro Nakamura, Satoshi Yamada, Tsutomu Miura, Masahiko Yanagi, Toru Takahashi, Division of Gastroenterology and Hepatology, Nagaoka Red Cross Hospital, 2-297-1, Senshu, Nagaoka, Niigata 940-2085, Japan
Akira Iwaya, Takao Shimizu, Division of Digestive and General Surgery, Nagaoka Red Cross Hospital, 2-297-1, Senshu, Nagaoka, Niigata 940-2085, Japan
Hiroyuki Usuda, Division of Medical Technology, Nagaoka Red Cross Hospital, 2-297-1, Senshu, Nagaoka, Niigata 940-2085, Japan
Iwao Emura, Division of Pathology, Nagaoka Red Cross Hospital, 2-297-1, Senshu, Nagaoka, Niigata 940-2085, Japan
Author contributions: Miura T, Tsuchiya J, Nakamura J, Yamada S, Miura T, Yanagi M and Takahashi T wrote the paper; Iwaya A and Shimizu T performed the operation; Usuda H and Emura I were involved in the pathological examination of the patient.
Correspondence to: Tomofumi Miura, MD, Division of Gastroenterology and Hepatology, Nagaoka Red Cross Hospital, 2-297-1, Senshu, Nagaoka, Niigata 940-2085, Japan. miuratom@nagaoka.jrc.or.jp
Telephone: +81-258-283600 Fax: +81-258-289000
Received: December 15, 2009
Revised: January 21, 2010
Accepted: January 28, 2010
Published online: April 14, 2010
Revised: January 21, 2010
Accepted: January 28, 2010
Published online: April 14, 2010
Abstract
We report an extremely rare case of adult intussusception caused by anisakiasis. A 41-year-old man was admitted into our hospital for right lower abdominal colicky pain. Ultrasonography and computed tomography revealed the presence of intussusception. As pneumo-dynamic resolution by colonoscopy failed, surgery was performed. The anisakis body was found in the submucosal layer of the resection specimen. The patient was discharged 9 d after the operation. Anisakiasis may cause intussusception in any country where sushi or sashimi now exists as a popular food. If suspicious, detailed clinical interview as to food intake prior to symptom development is crucial.