(3)
An extraintestinal anisakiasis is anecdotal and to our knowledges only two cases have been reported in the literature (2-4) . Herein we present the first case of anaphilaxis and scrotal localization in paediatric age. In literature we found only few cases of scrotal infestation by filariae, mimicking a testicular tumor. (5)
This child lives in Calabria, a Region in the South of Italy, in a normal italian socio-economic and hygienic conditions context. He hasn’t traveled in the past two years and he never has intaken raw fish or he has gone to a sushi restaurant. There were no similar cases in school.
Whether the entrance door of the anisakis remains a mystery, a possible theory on the etiopathogenesis of this case could be related to the persistence of a patent vaginal peritoneum duct, with the migration of worms from the intestinal wall to the scrotum. However, the child had no signs of hydrocele or inguinal swelling.