A case report of small bowel ileus possibly caused by Gnathostoma doloresi

Small bowel ileus due to the parasitic infection caused by omophagia of freshwater fish is relatively rare. We present a case of small bowel ileus possibly caused by inflammatory change associated with <I>Gnathostoma doloresi</I> infection. A 62-year-old man underwent partial resection of the small bowel under a diagnosis of ileus due to complete obstruction of the small bowel. He had eaten a few slices of raw freshwater fish four weeks before abdominal pain appeared, and he contracted creeping disease with several welts on the abdominal wall. Chronic inflammatory change suggestive of parasite infection was observed in the resected specimen. An immunoserodiagnostic study using microenzyme-linked immunosorbent assay led to a diagnosis of <I>Gnathostoma doloresi</I> infection. The postoperative course was favorable, and the patient was discharged 12 days after surgery. Only two cases of ileus due to <I>Gnathostoma doloresi</I> infection have ever been reported.

A Successful Case of Conccmitant Aortic Valve Replacement Using an Intravalvular Implantation Technique and Coronary Artery Bypass Grafting in Aortitis Syndrome / 日本心臓血管外科学会雑誌

Aortitis syndrome is a disease of non-specific inflammation of the arterial wall which produces necrosis and fibrosis of the intima. Indications, timing, and the choice of operative procedures should be determined carefully because of its complex pathology. We encountered a patient with combined aortic valve incompetence and left main coronary artery stenosis due to aortitis syndrome. The patient received adequate steroid therapy and the inflammatory reaction was well controlled before surgery. The patient underwent concomitant aortic valve replacement using an intravalvular implantation technique and coronary artery bypass grafting. The hospital course of the patient was uneventful. Neither paravalvular leakage nor inflammatory recurrence was observed during 18 months of follow-up.