Brief Case Report | Published:

Anisakidosis: a cause of intestinal obstruction from eating sushi

American Journal of Gastroenterology volume 93, pages 11721173 (1998) | Download Citation



We report a case of strangulating small bowel obstruction in a 60-yr-old Japanese woman caused by anisakidosis (previously known as anisakiasis). With the increasing popularity of Japanese cuisine such as sushi in the United States, the incidence of anisakidosis is expected to increase. Intestinal anisakidosis can now be treated temporarily, but this condition may cause a serious obstruction afterwards, as evidenced by this particular case. Over 13,500 cases were reviewed in both the Japanese and English literature, and we discuss the prevention of anisakidosis without negatively altering the taste of the raw fish.

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  1. 1.

    , , Anisakiasis: Revenge of the sushi parasite. New Engl J Med 1988;319: 1228–1229.

  2. 2.

    , , , et al. A case of hepatic anisakiasis with a literal survey for extra-gastrointestinal anisakiasis. Jpn J Parasitol 1995;44: 346–351.

  3. 3.

    Recent topics on Anisakidosis. Nihon Syoukakibyou gakkai zasshi 1990;87: 1740–1743.

  4. 4.

    , Anisakiasis. Clin Microbiol Rev 1989;2: 278–284.

  5. 5.

    , , , et al. Anisakiasis in Kyushu—summary of 1st to 8th questionnaire survey. Rinsho to Kenkyu 1993;70: 3563–3576.

  6. 6.

    Study on immunological diagnosis of anisakiasis. Kiseichu-si 1970;19: 1–7.

  7. 7.

    , Anisakiasis caused by herring in vinegar: A little known medical problem. Gut 1988;29: 843–847.

  8. 8.

    , , , et al. A case of strangulating intestinal obstruction due to anisakiasis. Geka-shinryou 1981: 1807–1810.

  9. 9.

    , , , et al. Anisakiasis. Nematode infestation producing small-bowel obstruction. Arch Surg 1982;117: 836.

  10. 10.

    The effect of freezing on encysted anisakiasis larvae. J Parasitol 1953;39: 585–588.

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  1. Second Department of Surgery, Yokohama City University School of Medicine, Yokohama, Japan

    • Kazuaki Takabe
    • , Shigeo Ohki
    • , Osamu Kunihiro
    • , Takeshi Sakashita
    • , Itaru Endo
    • , Yasushi Ichikawa
    • , Hitoshi Sekido
    •  & Hiroshi Shimada
  2. Department of Parasitology, Yokohama City University Hospital, Yokohama, Japan

    • Teruaki Amano
  3. Division of Anatomic & Surgical Pathology, Yokohama City University School of Medicine, Yokohama City University Hospital, Yokohama, Japan

    • Yukio Nakatani
  4. Kaminagaya Central Clinic, Yokohama, Japan

    • Keiichiro Suzuki


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Correspondence to Kazuaki Takabe.

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