Korean Journal of Gastrointestinal Endoscopy 1999;19(3): 449-453.
점막하 종양으로 생각된 위 아니사키스증 1 예 ( A Case with Gastric Anisakiasis Presented with a Submucosal Tumor
안상훈, 전재윤, 이승근, 박병규, 최병현, 이용찬, 문영명, 박인서 (Sang Hoon Ahn, Chae Yoon Chon, Seung Keun Lee, Byung Kyu Park, Byung Hyun Choi, Yong Chan Lee, Young Myoung Moon and In Suh Park)
Abstract
Anisakiasis is a parasitic infestation caused by nematode larvae belonging to the subfamily Anisakinae when a raw or inadequately cooked fish is ingested. The clinical symtoms are severe cramping abdominal pain, nausea, vomiting, epigastric fulling sensation, but hematemesis or melena is very rare. We report a case of a 60-year-old male patient who developed melena one day after eating raw sea-fish. An esophagogastroduodenoscopy revealed a submucosal tumor with an ulceration located in the gastric fundus and subsequently an explolaparotomy and mass excision was performed due to massive bleeding. An anisakis larva was found in the resected mass, which was thought to be gastric anisakiasis. (Korean J Gastrointest Endosc 19: 449∼453, 1999)
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