[OANNES Foro] Woe sushi: gastric anisakiasis

[Mario Cabrejos]

CLINICAL PICTURE
THE LANCET VOLUME 392, ISSUE 10155, P1340, OCTOBER 13, 2018
DOI:https://doi.org/10.1016/S0140-6736(18)32276-1

Woe sushi: gastric anisakiasis
Takeshi Kondo, MD 

A 40-year-old man presented to our emergency department with acute upper
abdominal pain 8 h after ingestion of sushi. During physical examination, he
was found to have tenderness in the epigastric region. Abdominal CT showed
diffuse thickening of the wall of the gastric body with surrounding fat
stranding. Emergency gastroscopy identified a 15 mm long larva of the
nematode Anisakis simplex penetrating the inflamed body of the stomach (
figure). Disinfestation rapidly resolved the patient's symptoms.

. 


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