Korean J Gastrointest Endosc > Volume 32(6); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(6): 381-386.
아니사키스증에 의한 점막하 종양상의 호산구성 육아종 3예
박상욱·주영은·정필진·박민호·이남훈·주임관·박근수·박창환·이완식·김현수·최성규·유종선·김세종
전남대학교 의과대학 내과학교실
Three Cases of Gastric Anisakiasis Mimicking Submucosal Tumor
Sang Wook Park, M.D., Young Eun Joo, M.D., Pil Jin Jung, M.D., Min Ho Park, M.D., Nam Hun Lee, M.D., Im Kwan Jhu, M.D., Geun Soo Park, M.D., Chang Hwan Park, M.D., Wan Sik Lee, M.D., Hyun Soo Kim, M.D., Sung Kyu Choi, M.D., Jong Sun Rew, M.D. and Sei Jong
Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea
Abstract
Gastric anisakiasis is a parasitic infestation that occurs after eating raw marine fish that contain Anisakis larvae. The diagnosis is usually confirmed by endoscopy, which often reveals the presence of the larvae itself, mucosal edema, erosion, ulceration, and hemorrhage. However, gastric anisakiasis mimicking submucosal tumor is extremely rare. To date, six cases have been reported in Korea. We report three additional cases of gastrtic anisakiasis mimicking submucosal tumor. An asymptomatic 56-year-old man and a 40-year-old woman underwent endoscopis examination during a physical checkup, and a 63-year-old woman visited our hospital complaining of epigastric discomfort. The endoscopic findings indicated submucosal tumors in all cases. Endoscopic ultrasonography revealed inhomogeneous, hypoechoic lesions in submucosal layer (1 case) and muscle layer (2 cases). A laparoscopic and endoscopic resection was carried out for definite diagnosis and treatment. The pathologic findings of the resected specimens were eosinophilic granuloma caused by Anisakis. (Korean J Gastrointest Endosc 2006;32:381⁣386)
Key Words: Anisakiasis, Eosinophilic granuloma, Submucosal tumor
주요어: 아니사키스증, 점막하종양, 호산구성 육아종
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