Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

腸アニサキス症について ―その症例を中心として―

安治 敏樹 岡山大学医学部寄生虫学教室
福田 富男 岡山大学医学部寄生虫学教室
何 黎星 岡山大学医学部寄生虫学教室
頓宮 廉正 岡山大学医学部寄生虫学教室
稲臣 成一 岡山大学医学部寄生虫学教室
土井 謙司 岡山大学医学部第二病理学教室
元井 信 岡山大学医学部第二病理学教室
越宗 猪一郎 越宗医院
Thumnail 94_775.pdf 1.19 MB
抄録
A case of ileus caused by intestinal anisakiasis is described in this paper. The intestine manifested a typical allergic inflamation. Pathological changes such as extensive edema 2nd fibrosis were found in the intestine. Eosinophiles, neutrophiles and monocytes also infiltrated near the site of the penetrating worm. The worm from the intestine of the patient was identified with a SEM. On the basis of the available evidence, it can be safely said that this worm is Anisakis type I larva, although the mucro on the tip of larval tail was not clear. The patient may have been infected with Anisakis larva by eating "SASHIMI" of a small yellowtail (HAMACHI) from the Seto Inland Sea, because these small yellowtail were fed fish caught near Hokkaido, Tohoku and San-in.
キーワード
腸アニサキス症
腸閉塞
アレルギー性炎症
アニサキスⅠ型幼虫
ISSN
0030-1558
NCID
AN00032489