Asymptomatic gastric anisakiasis detected in gastric cancer screening: A case report

Harada, Fumiue; Yamamoto, Kana; Takeuchi, Akio; Uenishi, Hiroshi; Tachiya, Yosuke; Yamamoto, Chika; Tani, Yuta; Ohnishi, Mutsuko; Takita, Morihito; Tanimoto, Tetsuya; Kami, Masahiro; Shineha, Ryusaburo

doi:10.1016/j.idcr.2022.e01635

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Most of them have no specific endoscopic findings and, with some notable exceptions (eg, Crohn's disease), even histology may fail to identify a specific aetiology. [282][283][284][285][286][287] In the aetiological assessment, it is crucial to critically ponder on various factors, including the patient's anamnesis, the clinical presentation and course of the disease, whether chronic gastritis is limited to the stomach or extragastric pathology, and whether it responds to treatment. It is worth noting that none of these forms of gastritis are linked to an increased risk of gastric cancer.…”

Section: Commentmentioning

confidence: 99%

RE.GA.IN.: the Real-world Gastritis Initiative–updating the updates

Rugge,

Genta,

Malfertheiner

et al. 2024

Gut

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At the end of the last century, a far-sighted ‘working party’ held in Sydney, Australia addressed the clinicopathological issues related to gastric inflammatory diseases. A few years later, an international conference held in Houston, Texas, USA critically updated the seminal Sydney classification. In line with these initiatives, Kyoto Global Consensus Report, flanked by the Maastricht-Florence conferences, added new clinical evidence to the gastritis clinicopathological puzzle.The most relevant topics related to the gastric inflammatory diseases have been addressed by the Real-world Gastritis Initiative (RE.GA.IN.), from disease definitions to the clinical diagnosis and prognosis. This paper reports the conclusions of the RE.GA.IN. consensus process, which culminated in Venice in November 2022 after more than 8 months of intense global scientific deliberations. A forum of gastritis scholars from five continents participated in the multidisciplinary RE.GA.IN. consensus. After lively debates on the most controversial aspects of the gastritis spectrum, the RE.GA.IN. Faculty amalgamated complementary knowledge to distil patient-centred, evidence-based statements to assist health professionals in their real-world clinical practice. The sections of this report focus on: the epidemiology of gastritis;Helicobacter pylorias dominant aetiology of environmental gastritis and as the most important determinant of the gastric oncogenetic field; the evolving knowledge on gastric autoimmunity; the clinicopathological relevance of gastric microbiota; the new diagnostic horizons of endoscopy; and the clinical priority of histologically reporting gastritis in terms of staging. The ultimate goal of RE.GA.IN. was and remains the promotion of further improvement in the clinical management of patients with gastritis.

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Section: Commentmentioning

confidence: 99%

RE.GA.IN.: the Real-world Gastritis Initiative–updating the updates

Rugge,

Genta,

Malfertheiner

et al. 2024

Gut

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“… 5 However, infestation may run asymptomatic. 6 When the larvae penetrate the gastric tissue, they usually die, causing inflammation. 7 Nevertheless, though rarely, they can spread both inside and outside the abdomen 8 —indeed, cases of pleural localization have been reported.…”

Section: Introductionmentioning

confidence: 99%

Pericardial anisakiasis: unravelling diagnostic challenges in an unprecedented extra-abdominal manifestation: a case report

Giovacchini,

Menale,

Scheggi

et al. 2024

European Heart Journal - Case Reports

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Background Anisakis infects humans by consuming contaminated undercooked or raw fish, leading to gastric anisakiasis, gastro-allergic anisakiasis, or asymptomatic contamination. Although larvae usually die when penetrating the gastric tissue, cases of intra- and extra-abdominal spread were described. We report the first probable case of pericardial anisakiasis. Case summary A 26-year-old man presented to the emergency department because of progressive lower limb oedema and exertional dyspnea. Two months prior, he had consumed raw fish without any gastrointestinal symptoms. The echocardiogram reported a circumferential pericardial effusion (“swinging heart”) and mildly reduced left ventricular ejection fraction (LVEF). He was diagnosed with myopericarditis after a cardiac magnetic resonance. A fluorodeoxyglucose positron emission tomography scan revealed an intense pericardial metabolism. Blood tests exhibited persistent eosinophilia and mild elevation of Anisakis simplex IgE – as for past infection. A pericardial drainage was performed, subsequently, serial echocardiograms revealed a spontaneous recovery of his LVEF. No autoimmune, allergic, or onco-hematologic diseases were identified. Based on a history of feeding with potentially contaminated raw fish and on long-lasting eosinophilia, we suspected a pericardial anisakiasis, despite a low but persistent titer of specific IgE. Albendazole was administered for 21 days, along with colchicine and ibuprofen for 2 months; pericardial effusion resolution and eosinophil normalisation occurred two weeks after. Discussion We hypothesized that Anisakis larvae may have migrated outside the gastrointestinal tract, penetrating the diaphragm and settling in the pericardium, causing pericarditis and pericardial effusion. Clinicians should know that the pericardium may be another extra-abdominal localisation of anisakiasis, beyond pleuro-pulmonary involvement.

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Asymptomatic gastric anisakiasis detected in gastric cancer screening: A case report

Cited by 2 publications

References 15 publications

RE.GA.IN.: the Real-world Gastritis Initiative–updating the updates

RE.GA.IN.: the Real-world Gastritis Initiative–updating the updates

Pericardial anisakiasis: unravelling diagnostic challenges in an unprecedented extra-abdominal manifestation: a case report

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