급성 복통과 상부위장관 출혈을 동반한 물개회충 감염 2예

• Published in: The Korean journal of gastroenterology Vol. 35; no. 4; pp. 501 - 506
• Main Authors: 최춘식, Choon Shik Choi, 최호순, Ho Soon Choi, 변재원, Jae Won Byun, 강문수, Moon Soo Kang, 전대원, Dae Won Jun, 윤병철, Byeong Chul Yoon, 함준수, Joon Soo Hahm, 이동후, Dong Hoo Lee, 이민호, Min Ho Lee, 기춘석, Choon Suhk Kee, 박경남, Kyung Nam Park, 류재숙, Jae Sook Ryu, 안명희, Myoung Hee Ahn, 민득영, Duk Y
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 01.01.2000
• Subjects: Human Anisakiasis; Peudoterranova decipiens
• ISSN: 1598-9992

Human Anisakiasis is caused by the accidental human infestation of larvae of marine mammals. The larvae are usually introduced into human body by the intake of saltwater fish and squid. The common clinical symptoms are colicky pain, diffuse abdominal tenderness, nausea, vomiting, fever, and leukocytosis. Sometimes, they are severe enough to need acute abdominal surgery. The larvae invade the gastrointestinal mucosa, and occasionally result in upper gastrointestinal bleeding. Infestation by Anisakis type I is observed more often than that by Peudoterranova decipiens in Korea. The characteristic intestinal cecum which protrudes towards the ventriculus can be seen in Peudoterranova decipiens. While the characteristics of Anisakis type I and Peudoterranova decipiens are a little different, the clinical manifestation and treatment seem to be the same. We report two cases of gastric Anisakiasis caused by Peudoterranova decipiens larvae, which present acute abdominal pain and upper gastrointestinal bleeding. (Kor J Gastroenterol 2000;35:501 - 506)