[Ileus of the small intestine caused by intestinal anisakiasis (herring worm disease)].
Two cases of anisaciasis caused by eating of improperly prepared herrings which were infested with larval nematodes are reported. The acute type with a stenosing process in the small intestinal wall existed in both cases which resulted in an ileus. Therapy was resection of the affected intestinal part with end-to-end-anastomosis. The morphological proof of larval nematodes, which penetrate from lumen into the eosinophilic granulomata, pseudotumours and eosinophilic microabscesses are important histological findings. It should be considered the possibility of a herring worm disease in the case of an acute abdomen caused by an inflammatory small bowel stenosis.
Lorenz
D
D
Klinik für Chirurgie, Ernst-Moritz-Arndt-Universität Greifswald.
Lorenz
G
G
Warzok
R
R
Attig
D
D
D000328:Adult; D006801:Humans; D007082:Ileum / Q000473:pathology / Q000601:surgery; D007411:Intestinal Diseases, Parasitic / Q000473:pathology / Q000601:surgery*; D007415:Intestinal Obstruction / Q000473:pathology / Q000601:surgery*; D007583:Jejunum / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009349:Nematode Infections / Q000473:pathology / Q000601:surgery*
Dünndarm-Ileus durch intestinale Anisakiasis (Heringswurmkrankheit).