A Second Attack of Anisakis: Intestinal Anisakiasis Following Gastric Anisakiasis
Author(s) -
Naoto Mizumura,
Satoshi Okumura,
Hiroshi Tsuchihashi,
Masao Ogawa,
Masayasu Kawasaki
Publication year - 2018
Publication title -
acg case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 4
ISSN - 2326-3253
DOI - 10.14309/crj.2018.65
Subject(s) - anisakis simplex , anisakis , medicine , epigastric pain , gastroenterology , abdominal pain , edema , vomiting , fish <actinopterygii> , fishery , biology
A 50-year-old man presented with epigastric pain after eating raw mackerel. Abdominal computed tomography revealed submucosal edema of the gastric antrum and pelvic ileum. Gastroscopy revealed an in the gastric antrum. His epigastric pain resolved after endoscopic removal of the ; however, he developed right lower quadrant pain the following day. Abdominal computed tomography showed submucosal edema of the terminal ileum involving different ileal loops, which was not present on admission. The patient developed delayed intestinal anisakiasis. A serving of raw fish may contain more than one . After gastric anisakiasis, a second may cause intestinal anisakiasis.
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