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<TITLE> Woe sushi: gastric anisakiasis</TITLE>
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<P DIR=LTR><SPAN LANG="en-us"><FONT FACE="Arial">CLINICAL PICTURE</FONT></SPAN></P>
<P DIR=LTR><SPAN LANG="en-us"><FONT FACE="Arial">THE LANCET VOLUME 392, ISSUE 10155, P1340, OCTOBER 13, 2018</FONT></SPAN></P>
<P DIR=LTR><SPAN LANG="en-us"><FONT FACE="Arial">DOI:<A HREF="https://doi.org/10.1016/S0140-6736(18)32276-1">https://doi.org/10.1016/S0140-6736(18)32276-1</A></FONT></SPAN></P>
<P DIR=LTR><SPAN LANG="en-us"><B></B></SPAN><SPAN LANG="en-us"><B></B></SPAN><SPAN LANG="en-us"><B><FONT SIZE=5 FACE="Arial">Woe sushi: gastric anisakiasis</FONT></B></SPAN></P>
<P DIR=LTR><SPAN LANG="en-us"></SPAN><SPAN LANG="en-us"><FONT FACE="Arial">Takeshi Kondo, MD </FONT></SPAN></P>
<P DIR=LTR><SPAN LANG="en-us"><FONT FACE="Arial">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.</FONT></SPAN></P>
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