title: Intestinal anisakiasis treated successfully with conservative therapy: importance of clinical diagnosis.
abstract: Intestinal anisakiasis is not only a rare parasitic disease, but is also difficult to diagnose. The symptoms are not specific and are often very severe and abrupt, and the findings of clinical imaging are very remarkable. Therefore, intestinal anisakiasis is often misdiagnosed as acute abdomen or intestinal obstruction and is treated surgically. However, if intestinal anisakiasis could be diagnosed correctly, it is well treated conservatively. We experienced three cases of intestinal anisakiasis, which were diagnosed correctly and treated successfully with conservative therapy. A correct clinical history and imaging interpretation helped us diagnose intestinal anisakiasis correctly and thus treat the patients successfully with conservative therapy.
authors.affiliation: Santosh Shrestha, Akiko Kisino, Makoto Watanabe, Hiroshi Itsukaichi, Kazumitsu Hamasuna, Giichiro Ohno, Atsushi Tsugu, Department of Gastro-Intestinal Surgery, Tokatsu Hospital, Chiba 270-0174, Japan.
authors.forename: Santosh
authors.initials: S
authors.lastname: Shrestha
authors.affiliation: Santosh Shrestha, Akiko Kisino, Makoto Watanabe, Hiroshi Itsukaichi, Kazumitsu Hamasuna, Giichiro Ohno, Atsushi Tsugu, Department of Gastro-Intestinal Surgery, Tokatsu Hospital, Chiba 270-0174, Japan.
authors.forename: Akiko
authors.initials: A
authors.lastname: Kisino
authors.affiliation: Santosh Shrestha, Akiko Kisino, Makoto Watanabe, Hiroshi Itsukaichi, Kazumitsu Hamasuna, Giichiro Ohno, Atsushi Tsugu, Department of Gastro-Intestinal Surgery, Tokatsu Hospital, Chiba 270-0174, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Watanabe
authors.affiliation: Santosh Shrestha, Akiko Kisino, Makoto Watanabe, Hiroshi Itsukaichi, Kazumitsu Hamasuna, Giichiro Ohno, Atsushi Tsugu, Department of Gastro-Intestinal Surgery, Tokatsu Hospital, Chiba 270-0174, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Itsukaichi
authors.affiliation: Santosh Shrestha, Akiko Kisino, Makoto Watanabe, Hiroshi Itsukaichi, Kazumitsu Hamasuna, Giichiro Ohno, Atsushi Tsugu, Department of Gastro-Intestinal Surgery, Tokatsu Hospital, Chiba 270-0174, Japan.
authors.forename: Kazumitsu
authors.initials: K
authors.lastname: Hamasuna
authors.affiliation: Santosh Shrestha, Akiko Kisino, Makoto Watanabe, Hiroshi Itsukaichi, Kazumitsu Hamasuna, Giichiro Ohno, Atsushi Tsugu, Department of Gastro-Intestinal Surgery, Tokatsu Hospital, Chiba 270-0174, Japan.
authors.forename: Giichiro
authors.initials: G
authors.lastname: Ohno
authors.affiliation: Santosh Shrestha, Akiko Kisino, Makoto Watanabe, Hiroshi Itsukaichi, Kazumitsu Hamasuna, Giichiro Ohno, Atsushi Tsugu, Department of Gastro-Intestinal Surgery, Tokatsu Hospital, Chiba 270-0174, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Tsugu
mesh_terms: D000328:Adult; D000818:Animals; D017129:Anisakiasis / Q000097:blood / Q000175:diagnosis* / Q000469:parasitology / Q000628:therapy*; D017163:Anisakis / Q000276:immunology / Q000472:pathogenicity*; D000913:Antibodies, Protozoan / Q000097:blood; D015415:Biomarkers / Q000097:blood; D005260:Female; D016266:Food Parasitology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D017747:Seafood / Q000469:parasitology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000913:Antibodies, Protozoan; D015415:Biomarkers
keywords: Acute abdomen; Clinical diagnosis; Computed tomography findings; Conservative therapy; Intestinal anisakiasis