PT  - JOURNAL ARTICLE
AU  - Khan, Mohammad Qasim
AU  - Williams, Jonathan
TI  - Anisakidosis: a fortuitous mimicker of gastrointestinal malignancy
AID  - 10.1136/bcr-2016-216164
DP  - 2016 Sep 06
TA  - BMJ Case Reports
PG  - bcr2016216164
VI  - 2016
4099  - http://casereports.bmj.com/content/2016/bcr-2016-216164.short
4100  - http://casereports.bmj.com/content/2016/bcr-2016-216164.full
AB  - 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.