Eosinophilic gastroenteritis with abdominal pain and ascites:A case report
作者机构:Department of GastroenterologyRenji HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghai 200001China
出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期:2021年第9卷第17期
页 面:4238-4243页
核心收录:
学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题:Eosinophilic gastroenteritis Abdominal pain Ascites Endoscopy Prednisone Case report
摘 要:BACKGROUND Eosinophilic gastroenteritis(EGE)is a rare disease that presents many unspecific gastroenterological *** disease includes three types depending on the depth of eosinophil infiltration in the gastrointestinal *** serosal type is the most rare,presenting as *** SUMMARY A 34-year-old man presented with abdominal pain,diarrhea without bloody stool,or *** test results revealed a peripheral blood eosinophil count(4.85×10^(9)/L),which was remarkedly *** tomography scan demonstrated extensive intestinal wall edema thickening in the duodenum,jejunum,ascending colon and transverse colon;multiple exudative effusion surrounding the intestinal tract,and ascites in the abdominal cavity.A series of examinations excluded eosinophil elevation in secondary *** multipoint biopsy detected eosinophilic infiltration in the mucous layer of the transverse colon,with≥50 eosinophils/high power *** symptoms vanished after a few days of steroid therapy and ascites disappeared within 2 *** EGE should be considered in patients with abdominal pain,ascites,and *** point biopsies are essential for diagnosis.