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Intestinal anisakiasis mimicking intestinal obstruction
S Pérez-Naranjo1, M Venturini-Díaz, C Colás-Sanz
1Department of Internal Medicine, University Hospital Lozano Blesa, Zaragoza, Spain. mibh-jperez@hcu-lblesa.es
European Journal of Medical Research
|May 6, 2003
Summary
Intestinal anisakiasis, caused by Anisakis nematode larvae in raw fish, can mimic appendicitis. Early diagnosis is crucial to avoid unnecessary surgery for acute abdomen cases.
Area of Science:
- Gastroenterology
- Parasitology
- Infectious Diseases
Background:
- Anisakiasis is a parasitic infection caused by nematode larvae found in raw or undercooked marine fish.
- Symptoms can mimic acute abdominal conditions, leading to diagnostic challenges.
Observation:
- A case of acute abdomen was reported following the ingestion of raw fish containing Anisakis larvae.
- The patient presented with symptoms that could be mistaken for other common surgical emergencies.
Findings:
- Intestinal anisakiasis presents with acute abdominal pain, nausea, and vomiting.
- Diagnostic delay can result in invasive procedures due to symptom overlap with appendicitis, ileitis, or peritonitis.
Implications:
- Anisakiasis should be included in the differential diagnosis for patients presenting with acute abdomen.
- Prompt identification of anisakiasis can prevent unnecessary surgical interventions.
- Raising awareness among clinicians about this parasitic infection is essential for timely management.