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Case Reports
, 2016

Anisakidosis: A Fortuitous Mimicker of Gastrointestinal Malignancy

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Case Reports

Anisakidosis: A Fortuitous Mimicker of Gastrointestinal Malignancy

Mohammad Qasim Khan et al. BMJ Case Rep.

Abstract

A 51-year-old woman presented with epigastric pain, vomiting and diarrhoea. Her sister was recently diagnosed with duodenal adenocarcinoma, manifesting similar symptoms. Imaging revealed thickened gastric antrum with enlarged local lymph nodes. Endoscopy illustrated 3 worms embedded in the antral wall, identified as Anisakis simplex larvae. Larvae removal and a 2-week albendazole regimen treated the symptoms. With globalisation of cultural culinary practices, physicians must be vigilant of anisakidosis. Its ability to mimic peptic ulcer disease, chronic gastritis and malignancy necessitates broader differential diagnoses and lower thresholds for endoscopy.

Figures

Figure 1
Figure 1
Endoscopic view of the gastric antrum showing thin white worms embedded in the mucosa.
Figure 2
Figure 2
Endoscopic view of thin white worm being retrieved from gastric antrum via forceps.

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