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[Acute abdomen by anisakiasis and globalization].
Giuseppe Marzocca1, Barbara Rocchi, Marianna Lo Gatto
1Dipartimento di Chirurgia Generale e Specialità Chirurgiche Azienda Ospedaliera Universitaria Santa Maria alle Scotte, Siena Cattedra di Chirurgia Generale e U.O. di Chirurgia Gastroenterologica dell'Università degli Studi di Siena.
Annali Italiani Di Chirurgia
|June 20, 2009
Summary
Anisakiasis, a fish-borne illness, can cause acute abdominal symptoms. Early diagnosis is crucial, especially with a history of consuming raw or undercooked seafood, as it mimics other conditions.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Parasitology
Background:
- Anisakiasis is a foodborne parasitic infection caused by Anisakis Simplex larvae.
- Ingestion of raw or undercooked seafood is the primary transmission route.
Observation:
- A 33-year-old male presented with acute abdomen, nausea, and vomiting after eating pickled anchovies.
- Exploratory laparotomy revealed a 15 cm edematous and stenotic segment of the jejunum.
Findings:
- Histological examination confirmed Anisakis Simplex larvae in the jejunal submucosa.
- The resected tissue showed significant inflammatory infiltration, primarily eosinophils, and mucosal erosions.
Implications:
- Anisakiasis diagnosis can be challenging due to overlapping symptoms with common gastrointestinal diseases.
- Globalization and changing dietary habits increase Anisakiasis prevalence worldwide.
- Consider Anisakiasis in differential diagnoses for intestinal obstruction in patients with relevant dietary histories.
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