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[Clinical Picture] Woe sushi: gastric anisakiasis

A 40-year-old man presented to our emergency department with acute upper abdominal pain 8 h after ingestion of sushi. During physical examination, he was found to have tenderness in the epigastric region. Abdominal CT showed diffuse thickening of the wall of the gastric body with surrounding fat stranding. Emergency gastroscopy identified a 15 mm long larva of the nematode Anisakis simplex penetrating the inflamed body of the stomach (figure). Disinfestation rapidly resolved the patient’s symptoms.