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Russell body duodenitis in a patient with retroperitoneal metastasis of ureteral cancer

World Journal of Gastroenterology 2013年第1期19卷 125-128页

作者： Yoshihisa Takahashi Seiichiro Shimizu Koji Uraushihara Toshio Fukusato Department of Pathology Teikyo University School of MedicineTokyo 173-8605Japan Department of Pathology Showa General HospitalTokyo 187-8510Japan Department of Gastrointestinal Medicine Showa General HospitalTokyo 187-8510Japan

Russell bodies are globular and eosinophilic inclusion bodies in the cytoplasm of mature plasma *** cells whose cytoplasm is filled with Russell bodies are designated as Mott *** body duodenitis(RBD) is a unique form of chronic duodenitis that is characterized by infiltration of numerous Mott *** is very rare;only two cases have been reported to *** this paper,we report a case of RBD in a patient with retroperitoneal metastasis of ureteral cancer.A 77-year-old man was admitted to our hospital complaining of appetite loss,vomiting,and upper abdominal *** had undergone left nephroureterectomy for ureteral cancer 4 years *** digestive tract endoscopy revealed edema,stenosis,and punctate redness of the mucosa of the duodenum,and a biopsy was *** analysis showed that numerous Mott cells had infiltrated the lamina propria mucosae,and the condition was diagnosed as RBD.A mass lesion in the retroperitoneum adjacent to the duodenum was detected by abdominal computed tomography,and was diagnosed as metastatic urothelial carcinoma by *** is possible that chemokines produced by tumor cells caused RBD in this case.

关键词： Russell body duodenitis Ureteral cancer Mott cells Plasma cells

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duodenitis in Systemic Autoimmune Diseases: Pathologist Perspective

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Open Journal of Rheumatology and Autoimmune Diseases 2018年第3期8卷 79-86页

作者： Priyavadhana Balasubramanian Bhawana Ashok Badhe Rajesh Nachiappa Ganesh Lakshmi C. Panicker Pazhanivel Mohan Departments of Pathology JIPMER Puducherry India Medical Gastroenterology JIPMER Puducherry India

Aims: To study the histomorphology of duodenitis associated with systemic autoimmune diseases with clinicopathologic correlation. Patients and Methods: This is a descriptive prospective study. Fifteen patients of autoimmune diseases with duodenitis were included. Informed consent was taken. Histomorphological parameters studied were villous architecture, crypt architecture, intraepithelial lymphocyte (IEL) count per 100 enterocytes, villous tip IEL count per 20 enterocytes were counted, inflammatory cells in lamina propria—lymphocytes, neutrophils, eosinophils, epithelioid cells. Statistical analysis was done using IBM-SPSS software version 21. Results: Fifteen cases of duodenitis associated with autoimmune diseases included 6 patients of systemic lupus erythematosus (SLE), 5 of rheumatoid arthritis, one each of ankylosing spondylitis, systemic sclerosis, dermatomyositis and seronegative reactive arthritis. All these cases were serologically proven. Only 3 (20%) patients had mild villous blunting. Six patients (46.7%) had increased IEL counts. The range of IELs was 8 - 30, mean ± SD was 14 ± 7.6. Range of villous tip IELs was 0 - 8 with mean ± SD of 3.45 ± 2.56. Six patients (46.7%) had increased IEL counts but only 3 patients (20%) had increased villous tip IELs. All patients had moderate increase in lymphoplasmacytic infiltrate in lamina propria. Eosinophils in lamina propria were increased in 46.7% cases.? Conclusion: One of the causes for malabsorptive conditions in adult population in South India is found to be duodenitis associated with autoimmune conditions. We conclude that a combination of clinical, serological, endoscopic and histopathologic features is crucial in arriving at a correct diagnosis.

关键词： Systemic Autoimmune Diseases duodenitis

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Russell body duodenitis with immunoglobulin kappa light chain restriction

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World Journal of Gastrointestinal Endoscopy 2015年第1期7卷 73-76页

作者： William R Munday Lucy Harn Kapur Mina Xu Xuchen Zhang Department of Pathology Yale University School of Medicine New Haven CT 06516 United States Pathology and Laboratory Medicine Service VA CT Health Care System West Haven CT 06516 United States

Russell bodies are eosinophilic intracytoplasmic globules which are likely the result of disturbed secretion of immunoglobulins that accumulate within the plasma cell. Russell body collections have been identified within the stomach, known as Russell body gastritis. Similar lesions within the duodenum are referred to as Russell body duodenitis, which is rare. Several Russell body gastritis case reports are associated with Helicobacter pylori. However, the etiology of Russell body duodenitis remains unclear. Here we report the first case of Russell body duodenitis with immunoglobulin light chain restriction in a background of peptic duodenitis.

关键词： Russell body duodenitis Russell bodies Immunoglobulin

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Gastroduodenitis associated with ulcerative colitis:A case report

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World Journal of Clinical Cases 2020年第17期8卷 3847-3852页

作者： Ye Yang Chun-Qiang Li Wu-Jie Chen Zhen-Hua Ma Gang Liu Department of Gastroenterology HwaMei HospitalUniversity of Chinese Academy of SciencesNingbo 315000Zhejiang ProvinceChina Ningbo Institute of Life and Health Industry University of Chinese Academy of SciencesNingbo 315000Zhejiang ProvinceChina Key Laboratory of Diagnosis and Treatment of Digestive System Tumors of Zhejiang Province Ningbo 315000Zhejiang ProvinceChina Ningbo Clinical Research Center for Digestive System Tumors Ningbo 315000Zhejiang ProvinceChina Department of General Surgery Tianjin Medical University General HospitalTianjin 300052China

BACKGROUND Ulcerative colitis(UC)is defined as a chronic inflammatory bowel disease that can occur in any part of the large *** addition,UC affects only the large bowel except for backwash ileitis and pouchitis,whereas Crohn’s disease(CD)affects the entire digestive *** bowel disease(IBD)patients tend to be diagnosed with CD or indeterminate colitis when combined with gastric ***,in recent years,some UC patients are reported to have various degrees of lesions in ***,we report a case of gastroduodenitis associated with UC(GDUC).CASE SUMMARY A 25-year-old man with a history of Klippel-Trenaunay syndrome presented to the hospital with mucopurulent bloody stool and epigastric persistent colic pain for 2 *** superficial ulcers and spontaneous bleeding were observed under *** gastroscopy revealed mucosa with diffuse edema,ulcers,errhysis,and granular and friable changes in the stomach and duodenal bulb,which were similar to the appearance of the *** ruling out other possibilities according to a series of examinations,a diagnosis of GDUC was *** patient hesitated about intravenous corticosteroids,so he received a standardized treatment with pentasa of 3.2 g/*** 0.5 mo of treatment,the patient’s symptoms achieved complete ***-up endoscopy and imaging findings showed no evidence of recurrence for 26 *** The occurrence of gastrointestinal involvement in UC is rare,which may open a new window for studying the etiology and pathogenesis of *** should consider broad differential diagnosis by endoscopic biopsy and laboratory examinations.

关键词： Ulcerative colitis Gastritis duodenitis Gastroduodenitis Abdominal pain Case report

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