Gastric Anisakiasis with a Gastric Ulcer.

An 82-year-old man was referred to our hospital due to epigastric pain and anemia. Emergent esophagogastroduodenoscopy revealed a regularly shaped ulcer on the lesser curvature of the gastric body (Picture 1). Anisakis larvae were found in the center of the ulcer and were removed with a forceps (Picture 2). The patient had eaten raw squid two days prior to his hospital visit. There are a few reports on gastric anisakiasis occurring with gastric ulcers (1, 2); however, the correlation between the two conditions remains undefined.

Picture 1.

Picture 2.