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英文誌(2004-)

Journal of Medical Ultrasonics

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1992 - Vol.19

Vol.19 No.01

Case Report(症例報告)

(0035 - 0040)

小腸アニサキス症3例の超音波像の検討

Ultrasonographic Study of 3 Cases of Acute Small Intestinal Anisakiasis

井上 健一郎 1, 澤 隆文1, 牟田 広毅1, 大石 哲也1, 中尾 治彦1, 川口 昭男1, 井上 哲治1, 伊津野 稔2, 村田 育夫2, 牧山 和也2, 原 耕平2

Kenichirou INOUE1, Takafumi SAWA1, Hiroki MUTA1, Tetsuya OOISHI1, Haruhiko NAKAO1, Akio KAWAGUCHI1, Tetsuji INOUE1, Minoru ITSUNO2, Ikuo MURATA2, Kazuya MAKIYAMA2, Kouhei HARA2

1春回会井上病院, 2長崎大学医学部第二内科

1Inoue Hospital, 2The Second Department of Internal Medicine, Nagasaki University School of Medicine

キーワード : Small intestine, Anisakiasis, Ultrasonography

Ultrasonographic studies were performed on 3 patients with acute small intestinal anisakiasis. All the cases had a history of eating raw fish and were daiagnosed as anisakiasis by Barium study. Ultrasonographic studies showed thickening of the small intestinal wall at the site of the worm extending for 10∼20 cm, and the small intestine proximal to the lesion showed marked dilatation due to ileus. Among 5 ultrasonographical layers of the small intestinal wall, the second and third layers, which were thought to be mucosal and submucosal layers, were thickened.