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Anisakiasis: Imaging findings.

R Fornell Pérez1, M Urizar Gorosarri1, M Pérez Bea1

  • 1Servicio de Radiodiagnóstico, Hospital Universitario Basurto, Bilbao, Bizkaia, Spain.

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|June 8, 2022
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Summary
This summary is machine-generated.

Anisakiasis, a parasitic infection from contaminated seafood, often presents as acute abdomen with no specific symptoms. Radiologists must recognize imaging findings to aid diagnosis and guide clinical suspicion.

Keywords:
AnisakisComputed tomographyEcografíaTomografía computarizadaUltrasonography

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Area of Science:

  • Medical Imaging
  • Parasitology
  • Gastroenterology

Background:

  • Anisakiasis is an emerging parasitic infection caused by Anisakis species, increasingly prevalent in Western countries.
  • Contaminated seafood consumption is the primary transmission route.
  • Clinical presentation is often nonspecific, mimicking acute abdominal conditions.

Purpose of the Study:

  • To review imaging findings of anisakiasis.
  • To enhance radiologists' familiarity with diagnostic imaging features.
  • To aid in the differential diagnosis of acute abdominal pain.

Main Methods:

  • Retrospective review of imaging studies in patients diagnosed with anisakiasis.
  • Analysis of findings across various imaging modalities (e.g., ultrasound, CT, MRI).
  • Correlation of imaging findings with clinical history and laboratory data.

Main Results:

  • Anisakiasis can manifest with diverse imaging findings, including bowel wall thickening, ascites, and eosinophilic masses.
  • Specific patterns may suggest anisakiasis, prompting further clinical investigation.
  • Imaging plays a crucial role in excluding other pathologies and guiding diagnosis.

Conclusions:

  • Radiologists must be aware of the imaging spectrum of anisakiasis due to its nonspecific clinical presentation.
  • Familiarity with imaging findings can facilitate early diagnosis and appropriate patient management.
  • Prompt recognition of anisakiasis on imaging can lead to targeted history taking and specific diagnostic tests.