Korean J Gastrointest Endosc > Volume 27(1); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;27(1): 26-30.
위 아니사키스에 의해 발생한 것으로 보인 위의 점막하 종양 1예
최바울·허진욱·임현정·이지영·김동완·박무인·박선자·장희경*·오경승·구자영
고신대학교 의과대학 내과학교실, *병리학교실, 진단방사선과학교실
A Case of Gastric Submucosal Tumor Suspected to be Caused by Anisakis
Paul Choi, M.D., Jin Wuk Hur, M.D., Hyun Jung Lim, M.D., Jee Young Lee, M.D., Dong Wan Kim, M.D., Moo In Park, M.D., Seun Ja Park, M.D., Hee Kyung Chang, M.D.*, Kyung Seung Oh, M.D.and Ja Young Koo, M.D.
Departments of Internal Medicine, *Pathology and Radiology, Kosin University College of Medicine, Busan, Korea
Abstract
Anisakiasis is a parasitic disease following eating raw fishes infected with Anisakis larvae. The endoscopic features of the gastric mucosa are edema, erosion, ulceration and hemorrhage. Gastric anisakiasis forming submucosal tumor is rare. Twenty six-year-old man who complained of severe epigastric pain was admitted. The pain began approximately three hours after eating slices of raw Astroconger myriaster. Gastric endoscopy revealed a submucosal tumor with central erosion on the gastric fundus. Endoscopic ultrasonography detected a thickening of the gastric wall made of mainly thickened submucosal layer. Abdominal CT scan showed a gastric mass lesion with hypodensity in the gastric fundus and subsequently wedge resection was performed. The pathologic finding of the resected mass was eosinophilic abscess in the submucosal layer. We report a case of gastric submucosal tumor which seems to be caused by Anisakis, with a review of relevant literature. (Korean J Gastrointest Endosc 2003;27:26⁣30)
Key Words: Anisakiasis, Submucosal tumor, Eosinophilic abscess
주요어: 아니사키스증, 점막하 종양, 호산구성 농양
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