METHODS: We present a case report of a 41-year-old woman who developed severe abdominal symptoms, ultimately diagnosed with intestinal obstruction due to Anisakis infestation, requiring surgery. Despite the absence of prominent eosinophilia or specific radiological findings, the diagnosis was confirmed through histological examination, highlighting the importance of considering anisakiasis in patients with a history of raw seafood consumption.
CONCLUSIONS: The case underscores the diagnostic challenges associated with anisakiasis, emphasizing the need for increased awareness among healthcare professionals and the public regarding the risks of consuming raw or undercooked seafood. Effective management requires a multidisciplinary approach, including clinical assessment, imaging studies, and histological evaluation, to ensure timely diagnosis and appropriate treatment.
方法:我们提供一例41岁女性出现严重腹部症状的病例报告,最终被诊断为因异尖病患引起的肠梗阻,需要做手术.尽管没有明显的嗜酸性粒细胞增多或特定的放射学发现,通过组织学检查证实了诊断,强调对生海鲜消费史的患者考虑anisakiasis的重要性。
结论:该病例强调了与anisakiasis相关的诊断挑战,强调需要提高医疗保健专业人员和公众对食用生的或未煮熟的海鲜的风险的认识。有效的管理需要多学科的方法,包括临床评估,影像学检查,和组织学评估,确保及时诊断和适当治疗。