Double balloon enteroscopy in the detection and removal of jejunal anisakiasis: Case report
Abstract A 53‐year‐old Japanese man presented to the emergency department with epigastric pain and bloating. Computed tomography revealed a thickening of the jejunal wall and proximal dilation. Double‐balloon enteroscopy was performed to investigate the jejunal thickening, which revealed an anisakis...
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| Format: | Article |
| Language: | English |
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Wiley
2024-04-01
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| Series: | DEN Open |
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| Online Access: | https://doi.org/10.1002/deo2.339 |
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| author | Erika Abe Tsukasa Ishida Tatsuya Osuga Saori Kakuyama Hirofumi Ogawa Katsutoshi Nabeshima |
| author_facet | Erika Abe Tsukasa Ishida Tatsuya Osuga Saori Kakuyama Hirofumi Ogawa Katsutoshi Nabeshima |
| author_sort | Erika Abe |
| collection | DOAJ |
| description | Abstract A 53‐year‐old Japanese man presented to the emergency department with epigastric pain and bloating. Computed tomography revealed a thickening of the jejunal wall and proximal dilation. Double‐balloon enteroscopy was performed to investigate the jejunal thickening, which revealed an anisakis larva in the jejunum with an associated ulcer. The larva was removed using endoscopic forceps, after which there was immediate improvement of symptoms. Further patient interview determined that he had consumed marinated mackerel the day before the onset of symptoms. After diagnosis of small intestinal anisakiasis, he was successfully treated using double‐balloon enteroscopy. Its use for small intestinal anisakiasis is rare, and this case may be the first instance in the jejunum. Removal of the anisakis larva led to a clear diagnosis and a quick resolution of symptoms. A history of raw fish consumption a few days before the onset of abdominal symptoms and abnormal findings on computed tomography scans are key to the diagnosis of small intestinal anisakiasis. Double‐balloon enteroscopy was thought to be a safe means of making accurate diagnoses and appropriate treatment of our patients. |
| format | Article |
| id | doaj-art-82d16779cfa546e8ab71f1211cee89c3 |
| institution | Kabale University |
| issn | 2692-4609 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-82d16779cfa546e8ab71f1211cee89c32025-08-20T03:38:54ZengWileyDEN Open2692-46092024-04-0141n/an/a10.1002/deo2.339Double balloon enteroscopy in the detection and removal of jejunal anisakiasis: Case reportErika Abe0Tsukasa Ishida1Tatsuya Osuga2Saori Kakuyama3Hirofumi Ogawa4Katsutoshi Nabeshima5Department of Gastroenterology Akashi Medical Center Hyogo JapanDepartment of Gastroenterology Akashi Medical Center Hyogo JapanDepartment of Gastroenterology Takatsuki General Hospital Osaka JapanDepartment of Gastroenterology Takatsuki General Hospital Osaka JapanDepartment of Gastroenterology Takatsuki General Hospital Osaka JapanDepartment of Gastroenterology Takatsuki General Hospital Osaka JapanAbstract A 53‐year‐old Japanese man presented to the emergency department with epigastric pain and bloating. Computed tomography revealed a thickening of the jejunal wall and proximal dilation. Double‐balloon enteroscopy was performed to investigate the jejunal thickening, which revealed an anisakis larva in the jejunum with an associated ulcer. The larva was removed using endoscopic forceps, after which there was immediate improvement of symptoms. Further patient interview determined that he had consumed marinated mackerel the day before the onset of symptoms. After diagnosis of small intestinal anisakiasis, he was successfully treated using double‐balloon enteroscopy. Its use for small intestinal anisakiasis is rare, and this case may be the first instance in the jejunum. Removal of the anisakis larva led to a clear diagnosis and a quick resolution of symptoms. A history of raw fish consumption a few days before the onset of abdominal symptoms and abnormal findings on computed tomography scans are key to the diagnosis of small intestinal anisakiasis. Double‐balloon enteroscopy was thought to be a safe means of making accurate diagnoses and appropriate treatment of our patients.https://doi.org/10.1002/deo2.339acute abdomendouble‐balloon enteroscopyjejunal anisakiasisraw fish consumptionsmall bowel obstruction |
| spellingShingle | Erika Abe Tsukasa Ishida Tatsuya Osuga Saori Kakuyama Hirofumi Ogawa Katsutoshi Nabeshima Double balloon enteroscopy in the detection and removal of jejunal anisakiasis: Case report DEN Open acute abdomen double‐balloon enteroscopy jejunal anisakiasis raw fish consumption small bowel obstruction |
| title | Double balloon enteroscopy in the detection and removal of jejunal anisakiasis: Case report |
| title_full | Double balloon enteroscopy in the detection and removal of jejunal anisakiasis: Case report |
| title_fullStr | Double balloon enteroscopy in the detection and removal of jejunal anisakiasis: Case report |
| title_full_unstemmed | Double balloon enteroscopy in the detection and removal of jejunal anisakiasis: Case report |
| title_short | Double balloon enteroscopy in the detection and removal of jejunal anisakiasis: Case report |
| title_sort | double balloon enteroscopy in the detection and removal of jejunal anisakiasis case report |
| topic | acute abdomen double‐balloon enteroscopy jejunal anisakiasis raw fish consumption small bowel obstruction |
| url | https://doi.org/10.1002/deo2.339 |
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