Laryngeal Anisakiasis: An Unusual Cause of Foreign-Body Sensation in the Throat
2012
41-year-old woman presented with a 2-day history of foreign-body sensation in the throat. She denied voice change or dysphagia. She reported eating raw fish 5 days before the onset of symptoms. Flexible fiber-optic laryngoscopy revealed a wriggling worm beneath the mucosa of the right aryepiglottic fold of the larynx (Figure 1). Endoscopic removal was initially attempted through the flex- ible endoscope using biopsy forceps in the clinic setting. The worm was ultimately removed with forceps under general anesthesia. The worm measured 4 mm in length and 1 mm in width. Morphological and histological examination confirmed that the worm was consistent with the Anisakis species. The patient's foreign-body sensation resolved soon after the worm was removed. No additional worms were found during upper gastroesophagoscopy.
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