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Chronic anisakidosis presenting with intestinal intussusception.
A C Piscaglia1, M T Ventura, G Landolfo
1Gastroenterology and Endoscopy Unit, State Hospital, Republic of San Marino. annachiarapiscaglia@hotmail.com.
European Review for Medical and Pharmacological Sciences
|January 4, 2015
Summary
Chronic anisakidosis, a parasitic infection from raw fish, can cause rare colonic intussusception. This case highlights a 52-year-old immunosuppressed woman with colocolic intussusception due to Anisakis nematode infestation.
Area of Science:
- Gastroenterology
- Parasitology
- Infectious Diseases
Background:
- Anisakidosis is a parasitic infection from ingesting raw or undercooked fish containing Anisakidae nematodes.
- Intestinal anisakidosis is uncommon, typically affecting the small bowel, with rare colonic involvement.
Observation:
- A 52-year-old immunosuppressed woman presented with acute abdominal pain and vomiting.
- She experienced colocolic intussusception, successfully reduced by colonoscopy, revealing a colonic submucosal mass.
Findings:
- Histological examination of the surgical specimen confirmed Anisakis nematode infestation of the intestinal wall.
- An intense erosive-inflammatory reaction adjacent to the nematode was observed.
Implications:
- This case underscores the potential for Anisakidosis to manifest with colonic intussusception, particularly in immunosuppressed individuals.
- Early diagnosis and treatment are crucial for managing this rare parasitic infection.
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