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RIGHT ILEOCOLITIS SECONDARY TO ANISAKIASIS

ROSELYN H. RICHMAN M.D. and ANN M. LEWICKI M.D.

Roentgenologic and clinical signs of an inflammatory process in the bowel were the only apparent preoperative diagnostic clues in a young woman who also habitually ate raw fish. Laparotomy followed by hemicolectomy led to the histologic diagnosis of anisakiasis caused by an Anisakis parasite.

Although anisakiasis is not common in the United States, it should be suspected in patients who present with a markedly thickened bowel wall and a history of eating raw, pickled or salted fish.


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