Konstantinos Vasiliadis, Elena Moschou, Sofia Papaioannou, Panagiotis Tzitzis, Albion Totsi, Stamatia Dimou, Eleni Lazaridou, Dimitrios Kapetanos, and Christos Papavasiliou. Ann Hepatobiliary Pancreat Surg 2020;24:221-7. https://doi.org/10.14701/ahbps.2020.24.2.221

Consumption of raw and mildly processed seafood, in the context of modern Western world eating trends, is recognized as a major driver for human fish-borne infections. However, these zoonoses and their unfamiliar risks remain neglected and underappreciated among European diagnosticians. In contemporary Europe anisakidosis is one of the most important fish-borne zoonoses. It is caused by ingesting the third-stage infective larvae of the nematode parasites that belong to the family Anisakidae. The case described herein, is an intestinal and ectopic form of anisakiosis (Anisakis spp.), causing symptoms of subacute abdomen and masquerading as an intraperitoneal malignancy. It is the first anisakidosis case reported in Greece, affecting a young patient who had been repeatedly exposed to the parasite by consuming homemade raw fish. Right hemicolectomy, omentectomy and excision of a descending colon nodule were uneventfully performed. The pathology report confirmed granulomatous tissue with eosinophilic infiltration and parasites that were morphologically and molecularly identified as Anisakis spp. Although challenging, acquiring an accurate diagnosis of anisakidosis can prevent unnecessary surgery, as the infection typically is self-resolving, and if treatment is deemed necessary, it can be limited to antiparasitic medication. However, in rare cases, extra-gastrointestinal migration of larvae can cause severe damage with practically unknown risks, posing a diagnostic and therapeutic dilemma. In such a clinical case scenario, surgical exploration can decisively contribute to a definitive diagnosis and early identification of intraabdominal complications necessitating surgical intervention.

Consumption of raw and mild processed seafood, in the context of modern western world eating trends, is recognized as a major driver for human fish-borne infections. However, these zoonoses and their unfamiliar risks remain neglected and underappreciated among European diagnosticians. In contemporary Europe anisakiosis is one of the most important fish-borne zoonoses. It is caused by ingesting nematode parasites of the family Anisakidae. The case described herein, is an intestinal and ectopic form of anisakiosis, causing symptoms of subacute abdomen and masquerading as an intraperitoneal malignancy. It is the first anisakiosis case reported in Greece, affecting a young patient who had been repeatedly exposed to the parasite by consuming homemade raw fish. Right hemicolectomy, omentectomy and excision of a descending colon nodule were uneventfully performed. The pathology report confirmed granulomatous tissue with eosinophilic infiltration and parasites that were morphologically and molecularly identified as Anisakis spp. Although challenging, obtaining an accurate diagnosis of anisakiosis can prevent unnecessary surgery. However, in rare cases, extra-gastrointestinal migration of larvae can cause severe damages with practically unknown risks, posing a diagnostic and therapeutic dilemma. In such clinical case scenario, surgical exploration can decisively contribute to a definitive diagnosis and early identification of intraabdominal complications necessitating surgical intervention.

Introduction: The 10th Albanian Congress of Trauma and Emergency Surgery (ACTES 2026), held on 25–26 September 2026 in Tirana, Albania, brought together surgeons, anesthesiologists, intensivists, radiologists, nurses and allied professionals to share current evidence and clinical experience in the care of injured and acutely ill surgical patients. Aim: To provide a structured, citable record of the scientific work presented at ACTES 2026 and to make it accessible to the international trauma and emergency surgery community. Methods: All abstracts accepted for oral or poster presentation were included. They were edited for format only, organized in a structured IMRAD layout with keywords, and their references were unified in Vancouver style. Author names and affiliations were checked for consistency. Results: The supplement contains 248 abstracts by more than 420 authors from 15 countries, mainly Albania, Italy, Germany, England, Ireland, Canada, Romania, Cyprus, Austria, Switzerland, North Macedonia, Greece, Israel, Turkey, and Kosovo. Retrospective clinical studies form the largest group (about one third), followed by narrative reviews, case reports, prospective studies, and systematic reviews or meta-analyses. Trauma care accounts for about 40% of the abstracts. Other topics include emergency general surgery, orthopedic trauma, vascular and cardiac emergencies, critical care and anesthesia, burns and reconstructive surgery, pediatric and oncologic emergencies, and trauma systems, education and digital health. Conclusions: The ACTES 2026 abstracts reflect growing regional and international collaboration in trauma and emergency surgery and provide a reference point for future research, training, and quality improvements in Albania, the region, and beyond...