Sonographic diagnosis of small intestinal anisakiasis.
OBJECTIVE
We studied the utility of sonography in the early diagnosis of anisakiasis of the small intestine.


METHODS
The imaging findings and clinical data of 12 patients with proven small intestinal anisakiasis were retrospectively reviewed.


RESULTS
Dominant sonographic findings were ascites, small bowel dilatation, and focal edema of Kerckring's folds.


CONCLUSIONS
Patients who have acute abdomen after recent ingestion of seafood and in whom ascites, small bowel dilatation, and focal edema of Kerckring's folds are seen by sonography should be suspected of having small intestinal anisakiasis and should be treated conservatively without laparotomy.
Ido
K
K
Department of Surgery, Nagoya Tokushukai General Hospital, Aichi Prefecture, Japan.
Yuasa
H
H
Ide
M
M
Kimura
K
K
Toshimitsu
K
K
Suzuki
T
T
D000006:Abdomen, Acute / Q000000981:diagnostic imaging; D000328:Adult; D000368:Aged; D000818:Animals; D017129:Anisakiasis / Q000000981:diagnostic imaging*; D017163:Anisakis / Q000276:immunology; D000909:Antibodies, Helminth / Q000097:blood; D001201:Ascites / Q000000981:diagnostic imaging; D002675:Child, Preschool; D003287:Contrast Media; D003974:Diatrizoate Meglumine; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging; D004487:Edema / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007122:Immunoelectrophoresis; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000469:parasitology*; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D017747:Seafood; D014463:Ultrasonography
D000909:Antibodies, Helminth; D003287:Contrast Media; D003974:Diatrizoate Meglumine