Korean J Gastrointest Endosc > Volume 28(4); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(4): 202-207.
아니사키스에 의한 것으로 추정되는 상행결장의 점막하 종괴 1예
서요안·장현주·은창수·장우영*·이재정·계세협·이 진
한림대학교 의과대학 내과학교실, *병리학교실, 외과학교실
A Case of a Submucosal Tumor in the Ascending Colon Probably Caused by Anisakis
Yo Ahn Suh, M.D., Hyun Joo Jang, M.D., Chang Soo Eun, M.D., Woo Young Jang, M.D.*,
Departments of Internal Medicine, *Pathology and Surgery, Hallym University College of
Abstract
Anisakiasis refers to a parasitic infestation by nematode larvae that belong to the subfamily Anisakinae. Colonic anisakiasis is very rare, and it is hard to diagnose compared with gastric anisakiasis. Endoscopic or radiologic findings, history of raw fish intake and ELISA test might be helpful, however, exploratory operations were needed to confirm the diagosis in the many cases of colonic anisakiasis. Colonoscopy and endoscopic ultrasonography showed a submucosal tumor in the ascending colon in a 47-year-old woman who complained of right upper quadrant abdominal pain. Right hemicolectomy was performed to diagnose and cure the lesion. Pathologic examination revealed some destructed cuticle of a parasite and dense eosinophilic abscess showing central necrosis. She had a history of raw squid intake recently. We report a case of submucosal tumor in the ascending colon probably caused by Anisakis. (Korean J Gastrointest Endosc 2004;28:202⁣207)
Key Words: Anisakis, Ascending colon, Submucosal tumor
주요어: 아니사키스증, 상행결장, 점막하 종양
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