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Gastrointestinal bleeding due to suspected anisakiasis: challenging differential diagnosis for a rare disease

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Abstract

As compared with Eastern countries, the incidence of gastrointestinal diseases caused by the ingestion of nematode eggs is very low in Europe, in spite of the fact that the consumption of raw fish has increased in these countries as well in recent years. The authors present here, a rare case of gastrointestinal bleeding due to Anisakis simplex. This is a very uncommon clinical presentation which rise several problems in diagnosis and management.

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References

  1. Bier JW, Deardoff TL, Jackson GJ, Raybourne RB (1987) Human anisakiasis. Baillieres Clin Trop Med Commun Dis 2:723–733

    Google Scholar 

  2. Daschner A, Pascual CY (2005) Anisakis simplex: sensitizazion and clinical allergy. Curr Opin Allergy Clin Immunol 5:281–285. doi:10.1097/01.all.0000168795.12701.fd

    Article  PubMed  Google Scholar 

  3. Pascual C, Crespo JF (1995) Anisakis, anisakiasis and food allergy. Rev Esp Alergol Immunol Clin 10:299–302

    Google Scholar 

  4. Audicana MT, Fernandez de Corres L, Munoz D et al (1995) Recurrent anafilaxis caused by Anisakis Simplex parasitizing fis. J Allergy Clin Immunol 96:558–560. doi:10.1016/S0091-6749(95)70301-2

    Article  PubMed  CAS  Google Scholar 

  5. Maggi P, Caputi-Iambrenghi O, Scardigno A, Scoppetta L, Saracino A, Valente M, Pastore G, Angarano G (2000) Gastrointestinal infection due to Anisakis Simplex in southern Italy. Eur J Epidemiol 16(1):75–78. doi:10.1023/A:1007617002972

    Article  PubMed  CAS  Google Scholar 

  6. Sudduth RH (2000) Anisakidosis. Strickland: hunter’s tropical medicine and emerging infectious diseases, 8th edn. WB Saunders, Philadelphia

    Google Scholar 

  7. Akao N, Ohyama T, Kondo K (1990) Immunoblot analysis of serum IgG. IgA and IgE responses against larval excretory-secretory antigens of Anisakis simplex in patients with gastric anisakiasis. J Helminthol 64(4):310–318. doi:10.1017/S0022149X00012359

    Article  PubMed  CAS  Google Scholar 

  8. Muguruma N, Okamura S, Okahisa T, Shibata H, Ito S, Terauchi A (1999) Anisakis larva involving the esophagal mucosa. Gastrointest Endosc 49(5):653–654

    Article  PubMed  CAS  Google Scholar 

  9. Kanisawa Y, Kawanishi N, Hisai H, Araya H (2000) Colonic anisakiasis: an unusual cause of intussusception. Endoscopy 32(9):S55

    PubMed  CAS  Google Scholar 

  10. Sasaki T, Fukumori D, Matsumoto H, Ohmori H, Yamamoto F (2003) Small bowel obstruction caused by anisakiasis of the small intestine: report of a case. Surg Today 33(2):123–125

    Article  PubMed  Google Scholar 

  11. Ishikura H, Kikuchi K, Nagasawa K, Ooiwa T, Tamiya H, Sato N, Sugane K (1990) Anisakidae and anisakidosis. In: Sun T (ed) Progress in clinical parasitology, vol III. Springer, New York, pp 43–102

    Google Scholar 

  12. Van Thiel P, Kuipers FC, Roskam RT (1960) A nematode parasitic to herring, causing acute abdominal syndromes in man. Trop Geogr Med 12:97–113 PMid:13776308

    PubMed  Google Scholar 

  13. Kakizoe S, Kakizoe H, Kakizoe K, Kakizoe Y, Maruta M, Kakizoe T, Kakizoe S (1995) Endoscopic findings and clinical manifestation of gastric anisakiasis. Am J Gastroenterol 90(5):761–763 PMid:7733084

    PubMed  CAS  Google Scholar 

  14. Im KI, Shin HJ, Kim BH, Moon SI (1995) Gastric anisakiasis cases in Cheju-do, Korea. Korean J Parasitol 33(3):179–186. doi:10.3347/kjp.1995.33.3.179

    Article  PubMed  CAS  Google Scholar 

  15. Céspedes M, Saez A, Rodríguez I, Pinto JM, Rodríguez R (2000) Chronic anisakiasis presenting as a mesenteric mass. Abdom Imaging 25(5):548–550 PMid:10931996

    Article  PubMed  Google Scholar 

  16. Sakanari JA, McKerrow JH (1989) Anisakiasis. Clin Microbiol Rev 2(3):278–284 PMid:2670191 PMCid:358121

    PubMed  CAS  Google Scholar 

  17. Kim H (1994) Chronic gastric anisakiasis: radiologic and endoscopic features. Am J Roentgenol 162(2):468–469 PMid:8310956

    CAS  Google Scholar 

  18. Naguib SF, Zaghloul AS, El Marakby H (2008) Gastrointestinal stromal tumors (GIST) of the stomach: retrospective experience with surgical resection at the National Cancer Institute. J Egypt Natl Canc Inst 20(1):80–89 PMid:19847285

    PubMed  Google Scholar 

  19. Mihssin N, Moorthy K, Sengupta A, Houghton PW (2000) Gastric stromal tumours: a practical approach. Ann R Coll Surg Engl 82(6):378–382 PMid:11103152 PMCid:2503480

    PubMed  CAS  Google Scholar 

  20. Khushalani N (2008) Cancer of the esophagus and stomach. Mayo Clin Proc 83(6):712–722. doi:10.4065/83.6.712

    Article  PubMed  Google Scholar 

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The authors declare that they have no conflict of interest.

Ethical standards

We assure that all human studies have been approved by ethics committee and been performed in accordance with the Declaration of Helsinki. Moreover, our patients have given their informed consent prior to their inclusion in the study. We have no financial relationship with anyone. We have the full control of primary data and we agree to allow the journal to review our data if requested.

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Correspondence to Chiara Boccardo.

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Filauro, M., Rollandi, G.A., Cassola, G. et al. Gastrointestinal bleeding due to suspected anisakiasis: challenging differential diagnosis for a rare disease. Updates Surg 63, 213–217 (2011). https://doi.org/10.1007/s13304-011-0055-x

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  • DOI: https://doi.org/10.1007/s13304-011-0055-x

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