PMC4929386_01
Endoscopic image of the patient's brother. An Anisakis larva was seen in the stomach, and the adjacent mucosa was swollen.
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F1
She and her brother had eaten the same food of pickled mackerel (raw fish) together 2 days before the onset, and her brother suffered from gastric anisakiasis (fig. 1), diagnosed the day before her onset.
Images of abdominal ultrasonography of the patient. a Longitudinal image. In a part of the jejunum, a markedly edematous wall (arrows) and dilatation of the oral sided lumen (arrowhead) were seen. b Cross-sectional image. In the edematous jejunal wall, mucosa (arrowhead) and submucosal (arrow) layers were thickened. c Ascites was seen in Douglas' pouch.
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F2
Abdominal ultrasonography revealed marked local edema in a part of the jejunal wall (12 cm long, 9 mm thick), dilatation of the oral sided lumen with fluid accumulation, and ascites (fig. 2).
Abdominal ultrasound image15 days after onset. Unilateral wall thickening was seen in the jejunum (arrows).
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F3
Two weeks later, the patient did not have any abdominal symptoms; however, ultrasound showed a remaining unilateral wall thickening in the jejunum, approximately 3 cm long (fig. 3).