This week's case is from a middle-aged woman with unexplained small bowel perforation. Here is the section with the culprit. You can view the whole slide image HERE. What is your diagnosis?
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A parasitologist's view of the world
Welcome to Parasite Case of the Week
Every week I will post a new Case, along with the answer to the previous case. Please feel free to write in with your answers, comments, and questions. Also check out my image archive website at http://parasitewonders.com. Enjoy!
The Fine Print:
Please note that all opinions expressed here are mine and not my employer. Information provided is for educational purposes only. It is not intended as and does not substitute for medical advice. I do not accept medical consults from patients.
The Fine Print:
Please note that all opinions expressed here are mine and not my employer. Information provided is for educational purposes only. It is not intended as and does not substitute for medical advice. I do not accept medical consults from patients.
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3 comments:
The culprit is SUSHI!
In this magnificent section we can clearly see features consistent with an anisakid infection: multilayered cuticle (from a portion which seems detached, in the upper part), polymyarian muscle cells, the beautiful Y shaped lateral chords and the banana-shaped excretory cell.
From the quite slender appearance of the lateral cords I think we could suppose this is actually Anisakis spp, but a definitive identification would require the observation of other characteristics like the caecum position and shape, or molecular diagnostics strategies.
Luca Fanasca, MD
Thank you Dr. Fanasca for the answer to that which kept my brain twisting and turning.
Florida Fan
Agree with Luca. A case of anisakiasis.
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