Chronic anisakiasis is a rare entity, and its diagnosis is difficult, We re
port a case of chronic anisakiasis with multiple gastrointestinal manifesta
tions presenting as a palpable mesenteric mass, diagnosed by specific serol
ogy and histologic findings. We describe the computed tomographic appearanc
e of this mass and the pathologic correlations, To our knowledge, this is t
he first time this mesenteric location has been detected by imaging before
surgery.