Abstract
Two operated cases of intestinal anisakiasis were reported. First case was a 47-year-old female complaining of abdominal pain, and was exposed with the diagnosis of generalized peritonitis. The edematous jejunum with swollen lymphonodes located 160cm from the ligament of Treitz was found. Segmental resection of the jejunum was performed and a larva penetrating the mucosa was revealed. Second case was a 48-year-old male complaining of abdominal pain. An abdominal X-ray film demonstrated a air-fluid level of the small intestine. The patient was exposed with the diagnosis of ileus, and an elastic soft tumor was detected in the jejunum 270cm from the ligament of Treitz. Enterotomy and removal of the stool were performed. In the immunological examination, the larva in the stool belonged to anisakias. Patients with intestinal anisakiasis sometimes present the symptoms of peritonitis and ileus, and the definitive diagnosis can be made only after laparotomy.
