Year 2021 / Volume 113 / Number 7
Letter
Intestinal obstruction caused by Anisakis

547

DOI: 10.17235/reed.2020.7409/2020

Èlia Bartra Balcells, Joan Domènech Calvet, Daniel Del Castillo Déjardin,

Abstract
A 77-year-old male presented to the Emergency Department due to a clinical and radiological pattern of intestinal obstruction. An abdominal computed tomography (CT) scan revealed a dilatation of the jejunum loops with a change in bowel caliber in the proximal ileum and segmental edema of the intestinal wall. An urgent laparotomy was performed which revealed adhesions between intestinal loops and an intraluminal mass in the proximal ileum with a change in the bowel caliber. The affected segment of the proximal ileum measuring 20 cm was resected and a small-bowel manual termino-terminal anastomosis was performed. The patient was discharged seven days following the surgery.
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References
1- Del Rey-Moreno A, Valero-López A, Gómez-Pozo B, et al. Utilidad de la anamnesis y de las técnicas inmunológicas en el diagnóstico de la anisakidosis en pacientes con abdomen agudo. Rev Esp Enferm Dig 2008;100(3):146-152 DOI: 10.4321/S1130-01082008000300004
2- Allison C, Baumann M. A case report of adhesional small bowl obstructions caused by extraintestinal Anisakiasis. J Emerg Med 2019;57(6):e175-e179
3- Shrestha S, Kisino A, Watanabe M, et al. Intestinal anisakiasis treated successfully with conservative therapy: importance of clinical diagnosis. World J Gastroenterol. 2014 Jan 14; 20(2):598-602
4- US Food and Drug Administration. US Department of Health and Human Services Food and Drug Administration Center for Food Safety and Applied Nutrition. Fish and fishery products hazards and controls guidance. Fourth Edition. March 2020. pp 91-92
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Bartra Balcells È, Domènech Calvet J, Del Castillo Déjardin D. Intestinal obstruction caused by Anisakis. 7409/2020


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Publication history

Received: 15/07/2020

Accepted: 02/08/2020

Online First: 27/11/2020

Published: 07/07/2021

Article Online First time: 135 days

Article editing time: 357 days


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