Korean Journal of Gastrointestinal Endoscopy 1993;13(4): 697-700.
대량출혈을 동반한 만성 위 아니사키스증 1예 ( A Case of Chronic Gastric Anisakiasis with Massive Bleeding )
이현상, 박상서, 정경태, 유석준, 고정희, 박병수, 최우석, 최덕례, 최호순 (Hyun Sang Lee, Kang Seo Park, Kyung Tae Jung, Seok Joon Yoo, Jung Hee Kho, Pyung Soo Park, Woo Seok Choi, Duck Yeii Choi and Ho Soon Choi)
Abstract
Aniskiasis is caused by the accidental infestation of human by larvae of marine mammals found in saltwater fish and squid. The clinical picture may be severe enough to stimulate an acute surgical abdomen. More commonly, colicky pain, diffuse abdominal tenderness, nausea, vomiting, fever, and leukocytosis are seen. Gastroscopically, 2-to 4-cm larvae can be seen penetrating the mucosa. More characteristically, the larvae burrow into the mucosa of the stomach. Here they produce eosinophilic granulomatous tumors with edema, thickening, and induration which may be mistaken for gastric canceer. The pathalogic changes are thought to be the result of a hypersensitivity reaction. We report a case of chronic gastric anisakiasis, which was diagnosed as submucosal tumor with massive bleeding.
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