Korean J Gastrointest Endosc.  2007 Jul;35(1):19-22.

A Case of Esophageal Anisakiasis Presenting as Chest Pain Mimicking Angina

Affiliations
  • 1Cheon's Clinic of Internal Medicine, Jeonju, Korea.
  • 2Department of Internal Medicine, Chonbuk National University College of Medicine, Korea. clickm@chonbuk.ac.kr

Abstract

Chest pain of a non-cardiac origin is frequently seen in medical practice. This kind of chest pain is often difficult to differentiate from chest pain of a cardiac origin. Esophageal anisakis is a rare finding, but it can cause chest pain. We report here on a patient who had a history of acute myocardial infarction and who also had one stent inserted in his left anterior descending coronary artery two month previously. The patient presented with substernal chest pain that mimicked anginal chest pain. Endoscopic examination revealed a whitish linear worm that had had invaded the esophagogastric junction, and we removed the worm with biopsy forceps. We report here on a patient with an esophageal anisakiasis as a rare cause of noncardiac chest pain that mimicked anginal chest pain.

Keyword

Chest pain; Esophageal anisakiasis

MeSH Terms

Anisakiasis*
Anisakis
Biopsy
Chest Pain*
Coronary Vessels
Esophagogastric Junction
Humans
Myocardial Infarction
Stents
Surgical Instruments
Thorax*
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