Current clinical data show a clear relationship between the zoonosis rates of Diphyllobothrium pacificum and Anisakis caused by the El Niño Southern Oscillations (ENSO) phenomenon along the Chilean coast. These parasites are endemic to the region and have a specific habitat distribution. D. pacificum prefers the warmer waters in the northern coast, while Anisakis prefers the colder waters of So...

A 44-year-old Japanese woman with no history of laparotomy presented with intermittent abdominal pain that had begun 10 hours earlier. Epigastric tenderness with no muscle guarding was observed. Abdominal contrast-enhanced computed tomography showed a dilated upper small intestine and a band near the stenosis (Figure 1). Internal hernia was diagnosed, and conservative treatment with analgesics was

To cite: Carmo J, Marques S, Bispo M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2016-218857 DESCRIPTION A previously healthy man, aged 32 years, was admitted with severe epigastric pain, vomiting and low-grade fever since the previous week. On physical examination, he had moderate abdominal tenderness. Laboratory results showed mild leucocytosis. Aft...