Korean Journal of Gastrointestinal Endoscopy 2006;33(2): 116-120.
맹장에서 발견된 무증상 아니사키스증과 감염 한 달 후에 발견된 상행결장의 아니사키스증
김상중·김정욱·김광진·허채·김석원·한상표·서영환·도재혁·김재규·박실무
중앙대학교 의과대학 내과학교실
Two Cases of Colon Anisakiasis: Asymphtomatic Cecal Anisakiasis and Ascending Colon Anisakiasis Detected One Month Later after Infestation
Sang Jung Kim, M.D., Jeong Wook Kim, M.D., Kwang Jin Kim, M.D., Chae Heo, M.D., Suk Won Kim, M.D., Sang Pyo Han, M.D., Young Hwan Seo, M.D., Jae Hyuk Do, M.D., Jae Gyu Kim, M.D. and Sill Moo Park, M.D.
Department of Internal Medicine, Chungang University College of Medicine, Seoul, Korea
Abstract
Anisakiasis of the gastrointestinal tract is usually caused by the ingestion of raw marine fish infested with Anisakis larvae. A majority of cases present as gastric and intestinal anisakiasis. Anisakiasis of colon is rare and asymptomatic colon anisakiasis has a particularly low incidence. A 45- year-old man received colonoscopy that revealed a 1.0 cm sized whitish linear larva penetrating the mucosa of the cecum and it was removed by colonscopy. He had no complaint before the colonoscopy. A 52-year-old man complained of right upper quadrant abdominal pain with weight loss for one month. Colonoscopy revealed a 1.5 cm sized whitish linear larva penetrating the mucosa of the distal part of ascending colon. Abdominal pain and weight loss were improved by colonoscopic removal of larva. (Korean J Gastrointest Endosc 2006;33:116120)
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