Department of Gastroenterology, Juntendo University School of Medicine, Tokyo 113-842, Japan.
Department of Internal Medicine and Rheumatology, Juntendo University School of Medicine, Tokyo 113-842, Japan.
Medicina (Kaunas). 2023 Oct 23;59(10):1888. doi: 10.3390/medicina59101888.
Anisakiasis is caused by consuming raw fish contaminated with sp. larvae and is extremely rare, especially when originating in the esophagus. We present a case of esophageal anisakiasis in a 61-year-old male who experienced severe precordial pain and radiating discomfort to the neck after consuming raw fish sashimi. Upper gastrointestinal endoscopy revealed the presence of a larva in the upper esophagus. On the basis of anatomo-morphological features, the worm was provisionally identified as sp. and was easily extracted with forceps, which led to a prompt improvement in the patient's symptoms. This case highlights the importance of considering anisakiasis as a differential diagnosis in patients with gastrointestinal symptoms and a history of consuming raw fish.
旋毛虫病是由食用被幼虫污染的生鱼引起的，极为罕见，尤其是起源于食管时。我们报告了一例 61 岁男性食管旋毛虫病病例，该患者在食用生鱼片后出现严重的胸痛和向颈部放射的不适。上消化道内镜检查发现上食管有幼虫存在。根据解剖形态学特征，该虫被暂定为旋毛虫，并容易用镊子取出，这导致患者的症状迅速改善。本病例强调了在有胃肠道症状和食用生鱼史的患者中，将旋毛虫病作为鉴别诊断的重要性。
