出血性胃潰瘍を合併した胃アニサキス症の1例

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  • A case of gastric anisakiasis with a hemorrhagic gastric ulcer

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A 53 year-old-man was admitted to our hospital because of upper gastrointestinal bleeding that occurred 3 weeks after eating simesaba. Emergency esophagogastroduodenoscopy (EGD) revealed an A1 stage hemorrhagic ulcer at the fornix. Endoscopic hemostasis was performed by local injection of hypertonic saline with epinephrine and argon plasma coagulation. However, due to saburra it was difficult to observe in detail. The next day, we performed EGD and found an Anisakis simplex at the base of the ulcer, and was removed during EGD with biopsy forceps. The patient was treated with proton pump inhibitor. His condition was improved to the H1 stage at 7days after the admission and on the 11th day he was discharged from the hospital. Gastric anisakiasis is usually occurred in association with stomach ache and diagnosed by the endoscopic findings of the larvae of the nematode Anisakis simplex, mucosal edema or erosion. We report a rear case of hemorrhagic gastric ulcer associated with anisakiasis.

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