A Case of Hepatic Anisakiasis Mimicking Metastatic Liver Cancer

Key Points

• This case aims to illustrate the difficulties in accurately diagnosing hepatic anisakiasis, particularly when it resembles metastatic liver cancer.
• Patient diagnosis based on fecal occult blood tests leading to imaging studies.
• Utilized CT imaging to identify liver lesions and EOB-MRI for detailed characteristics.
• Conducted surgical intervention followed by pathological examination.
• Identified a 10 mm low-absorption hepatic lesion with ambiguous enhancement on CT.
• Observations during MRI showed low signals and ring-like enhancement.
• Pathology revealed eosinophilic structures suggesting the presence of parasites, confirming hepatic anisakiasis.