Korean J Gastrointest Endosc > Volume 35(1); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(1): 33-37.
내시경 점막하 박리법으로 치료된 만성 위 호산구성 농양 1예
김지웅·이영재·정금모·조용근·주명진*·조진웅·이용웅
예수병원 소화기내과, *해부병리과
A Case of Chronic Gastric Eosinophilic Abscess Treated by Endoscopic Submucosal Dissection
Ji Woong Kim, M.D., Young Jae Lee, M.D., Gum Mo Jung, M.D., Yong Keun Cho, M.D., Myoung Jin Ju, M.D.*, Jin Woong Cho, M.D. and Yong Ung Lee, M.D.
Departments of Internal Medicine and *Pathology, Presbyterian Medical Center, Jeonju, Korea
Abstract
Anisakiasis is a parasitic disease caused by ingestion of raw fish infected with anisakis larvae. The endoscopic features of the gastic mucosa are edema, ulceration and hemorrhage. Chronic gastric anisakiasis forming a submucosal tumor is rare. A 53-year old female was diagnosed with having a 1 cm sized gastric submucosal mass-like lesion by gastroscopy. Endoscopic ultrasonography showed an inhomogenous low echoic tumor with an irregular margin in the submucosal layer. The patient underwent an endoscopic submucosal dissection and band ligation. A serological assay with an enzyme-linked immunosorbent assay for an anisakiasis specific IgG antibody were positive. The pathological finding of the resected mass was centrally denatured larvae with eosinophilic abscess in the submucosal layer. We report a case of chronic gastric anisakiasis that presented as a gastric submucosal tumor that was removed by the endoscopic submucosal dissection method, with a review of the relevant literature.
Key Words: Chronic gastric anisakiasis, Gastric submucosal tumor, Endoscopic submucosal dissection
주요어: 만성 위 아니사키스증, 위 점막하 종양, 내시경 점막하 박리법
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