Case Report
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World J Gastroenterol. Apr 14, 2010; 16(14): 1804-1807
Published online Apr 14, 2010. doi: 10.3748/wjg.v16.i14.1804
Intestinal anisakiasis can cause intussusception in adults: An extremely rare condition
Tomofumi Miura, Akira Iwaya, Takao Shimizu, Junpei Tsuchiya, Junichiro Nakamura, Satoshi Yamada, Tsutomu Miura, Masahiko Yanagi, Hiroyuki Usuda, Iwao Emura, Toru Takahashi
Tomofumi Miura, Junpei Tsuchiya, Junichiro Nakamura, Satoshi Yamada, Tsutomu Miura, Masahiko Yanagi, Toru Takahashi, Division of Gastroenterology and Hepatology, Nagaoka Red Cross Hospital, 2-297-1, Senshu, Nagaoka, Niigata 940-2085, Japan
Akira Iwaya, Takao Shimizu, Division of Digestive and General Surgery, Nagaoka Red Cross Hospital, 2-297-1, Senshu, Nagaoka, Niigata 940-2085, Japan
Hiroyuki Usuda, Division of Medical Technology, Nagaoka Red Cross Hospital, 2-297-1, Senshu, Nagaoka, Niigata 940-2085, Japan
Iwao Emura, Division of Pathology, Nagaoka Red Cross Hospital, 2-297-1, Senshu, Nagaoka, Niigata 940-2085, Japan
Author contributions: Miura T, Tsuchiya J, Nakamura J, Yamada S, Miura T, Yanagi M and Takahashi T wrote the paper; Iwaya A and Shimizu T performed the operation; Usuda H and Emura I were involved in the pathological examination of the patient.
Correspondence to: Tomofumi Miura, MD, Division of Gastroenterology and Hepatology, Nagaoka Red Cross Hospital, 2-297-1, Senshu, Nagaoka, Niigata 940-2085, Japan. miuratom@nagaoka.jrc.or.jp
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Received: December 15, 2009
Revised: January 21, 2010
Accepted: January 28, 2010
Published online: April 14, 2010
Abstract

We report an extremely rare case of adult intussusception caused by anisakiasis. A 41-year-old man was admitted into our hospital for right lower abdominal colicky pain. Ultrasonography and computed tomography revealed the presence of intussusception. As pneumo-dynamic resolution by colonoscopy failed, surgery was performed. The anisakis body was found in the submucosal layer of the resection specimen. The patient was discharged 9 d after the operation. Anisakiasis may cause intussusception in any country where sushi or sashimi now exists as a popular food. If suspicious, detailed clinical interview as to food intake prior to symptom development is crucial.

Keywords: Anisakis; Intussusception; Eosinophilic granuloma; Multiplanar reconstruction