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Published on: November 10, 2018
A Second Attack of Anisakis: Intestinal Anisakiasis Following Gastric Anisakiasis
Naoto Mizumura1, Satoshi Okumura1, Hiroshi Tsuchihashi1
1Department of Surgery, Bellland General Hospital, Sakai, Japan.
Abstract:
A 50-year-old man presented with epigastric pain after eating raw mackerel. Abdominal computed tomography revealed submucosal edema of the gastric antrum and pelvic ileum. Gastroscopy revealed an Anisakis simplex in the gastric antrum. His epigastric pain resolved after endoscopic removal of the Anisakis; however, he developed right lower quadrant pain the following day. Abdominal computed tomography showed submucosal edema of the terminal ileum involving different ileal loops, which was not present on admission. The patient developed delayed intestinal anisakiasis. A serving of raw fish may contain more than one Anisakis. After gastric anisakiasis, a second Anisakis may cause intestinal anisakiasis.
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