(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.