PDF(Pubmed)
Abstract：
Anisakiasis is caused by consuming raw fish contaminated with Anisakis 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 Anisakis 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.
摘要：
异尖病是由于食用被异尖病污染的生鱼引起的。幼虫极为罕见，尤其是起源于食道时。我们介绍了一名61岁男性的食道anisakiasis病例，该男性在食用生鱼生鱼片后经历了严重的心前区疼痛并使颈部不适。上消化道内窥镜检查显示食管上段存在幼虫。根据解剖形态特征，该蠕虫暂时被确定为Anisakissp。很容易用镊子提取，这导致了患者症状的迅速改善。该病例强调了将anisakiasis作为胃肠道症状和食用生鱼史的患者的鉴别诊断的重要性。
