Anisakiasis in the Small Intestine with Excessive Bleeding That Was Difficult to Diagnose Endoscopically

Intern Med. 2019 Jan 1;58(1):63-66. doi: 10.2169/internalmedicine.1482-18. Epub 2018 Aug 24.

Abstract

Anisakiasis involves the stomach in most cases and occurs rarely in the small intestine. Anisakiasis in the small intestine is associated with abdominal pain and obstruction and is rarely associated with intestinal bleeding. Unlike in the stomach, anisakiasis in the small intestine is difficult to diagnose anatomically. The patient in this case study developed hypovolemic shock due to excessive bleeding and underwent emergency surgery. With the recent increase in the consumption of raw fish around the world, this report provides an important finding of bleeding in the small intestine due to an unknown cause.

Keywords: anisakiasis; hypovolemic shock; intestinal bleeding; intestinal resection.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Anisakiasis / diagnosis*
  • Anisakiasis / pathology
  • Anisakiasis / surgery
  • Endoscopy*
  • Gastrointestinal Hemorrhage / etiology
  • Humans
  • Intestinal Obstruction / etiology
  • Intestine, Small*
  • Male
  • Middle Aged
  • Raw Foods
  • Seafood