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A Case of Gastric Anisakiasis Showing Interesting Findings H. Omori 1 , K. Kimoto 1 , H. Kibayashi 2 , M. Kurihara 2 , K. Okajima 3 1Dept. of Internal Med., Shigei Hospital 2Dept. of Surgery, Shigei Hospital 3Dept. of Surgery, Osaka Mcdical College pp.977-981
Published Date 1979/7/25
DOI https://doi.org/10.11477/mf.1403107730
  • Abstract
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 Most of reported gastric anisakiasis formed localized lesions in the gastric wall. It is of interest that the case described here showed diffuse thickening of the gastric wall.

 Case: A 58-year-old man complaining of pain of epigastrium. examination of the stomach revealed rigidity and lack of distensibility at the greater curvature from the mid body to pylorus. Endoscopic examination disclosed the rigidity of the gastric mucosa with irregularly swollen mucosal folds on the anterior and posterior walls, and the greater curvature from the mid body to pylorus. But erosion or ulcer was not found. Althrough gastric biopsy demonstrated no malignant lesion of the mucosa, laparotomy was performed under the suspicion of scirrhous carcinoma. There were greyish patches on the serosa of the greater curvature involving the major omentum, and markedly swollen lymph nodes along the both curvatures. Subtotal gastrectomy with extirpation of lymph nodes was done. The resected stomach showed diffuse thickening of gastric wall from the mid body to pylorus. Histopathological examination revealed widespead eosinophilic granulomatous and phlegmonous inflammation extending from the submucosa up to the serosa. A microscopic abscess was found in the deep submucosal tissue on the greater curvature of the antrum. There were cicatrized granulomatous tissue around the abscess and a destroyed cuticule in the center of it, which was considered to be belonged to anisakis larvae.


Copyright © 1979, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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