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KMID : 0880520120480010073
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Chonnam Medical Journal
2012 Volume.48 No. 1 p.73 ~ p.75
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A Case of Duodenal Anisakiasis with Duodenal Ulcer
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Hwang David
Park Seong-Il
Pack Seung-Chul
Lee Ki-Sang
Choi Sung-Kyu
Kang Hoon
Park Chan-Woong
Lee Soong
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Abstract
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Humans can be incidentally parasitized by third-stage larvae of Anisakis species following the ingestion of raw or undercooked seafood. Acute gastric anisakiasis is one of the most frequently encountered complaints in Korea. However, duodenal anisakiasis with duodenal ulcer had not been reported in Korea, despite the habit of eating raw fish. In this case, a 47-year-old man was hospitalized because of sharp epigastric pain and repeated vomiting after eating raw fish 3 days previously. On admission, esophagogastroduodenoscopic examination revealed an active duodenal bulb ulcer. At 5 mm away from the ulcer margin, a whitish linear worm was found with half of its body penetrating the duodenal mucosa. Herein, we report this case of duodenal anisakiasis accompanied by duodenal ulcer.
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KEYWORD
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Duodenum, Ulcer, Anisakiasis
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