Ricerc@Sapienza

Anisakiasis is increasing worldwide, even in Europe and in the Mediterranean region due to the
increased practice of raw fish consumption. Usually, a detailed food history is the key to the diagnosis. A
52-year-old woman affected by pathological obesity underwent esophagogastroduodenoscopy (EGD) for
a 1-year history of epigastric pain. In the gastric fundus, an Anisakis sp. larva, was casually detected. The
nematode was successfully removed with a biopsy forceps. In this case, the finding of the parasite was
casual, being detected during an accurate EGD performed for a 1-year history of epigastric pain in the
patient.