Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Gastric Anisakiasis with Recurrent Abdominal Pain in a Child

소아에서 반복성 복통을 동반한 위 아니사키스증 1례

  • Kwon, Jae Hun (Department of Pediactrics, Yonsei University College of Medicine) ;
  • Uhm, Ji Hyun (Department of Pediactrics, Yonsei University College of Medicine) ;
  • Chung, Ki Sup (Department of Pediactrics, Yonsei University College of Medicine)
  • 권재훈 (연세대학교 의과대학 소아과학교실) ;
  • 엄지현 (연세대학교 의과대학 소아과학교실) ;
  • 정기섭 (연세대학교 의과대학 소아과학교실)
  • Received : 2004.02.18
  • Accepted : 2004.03.22
  • Published : 2004.03.01
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Abstract

Anisakiasis is a accidental parasitic infection caused by nematode larvae belonging to the subfamily Anisakinae when a raw or inadequately cooked fish is ingested. The common clinical symptoms are severe colicky abdominal pain or epigastric full sensation, nausea, vomiting and fever, but hematemesis or melena is very rare. We report a case of a 11-year-old female child who developed severe epigastric pain recurrently for 2 months, and recalled that she had eaten the raw flesh of an Astroconger myriaster. Endoscopic examination showed the whitish worm invading the stomach wall. Clinical symptoms disappeared after endoscopic removal. This study may be the first pediatric case of gastric anisakiasis in korea.

저자들은 내원 2개월 전 붕장어 회를 먹은 후 하루에 수차례 나타나는 반복성 복통을 주소로 내원한 10년 1개월 된 여아에서 상부위장관 내시경으로 진단된 위아니사키스증 1례를 경험하여 보고하는 바이다.

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