Authors: Kotaro Okuda Yukiko Daimon Tsuyoshi Iwase Shoji Mitsufuji
Publish Date: 2012/12/01
Volume: 6, Issue: 1, Pages: 16-19
Abstract
Eosinophilic gastroenteritis is a rare disease with unknown cause It is characterized by marked eosinophilic infiltration in the gastrointestinal tract There are few reports that include detailed endoscopic findings of eosinophilic gastroenteritis in the small intestine A 48yearold man complaining of abdominal pain was admitted to our hospital A complete blood count showed eosinophilia and ascites showed eosinophilia Abdominal computed tomography indicated dilation wall thickening of the small intestine and ascites Capsule endoscopy revealed stenosis dilation edematous mucosa and aperistalsis in the upper jejunum together with circumferential ulcerated lesions and ulcer scars in the ileum Doubleballoon enteroscopy revealed a 10cm segmental mucosal edema and stenosis in the ileum In one segment there were several circumferential ulcerated lesions These lesions included both small round ulcers and large ulcers with redness and mucosal edema Histological examination revealed infiltration of eosinophils into biopsy specimens of the ileum The patient was diagnosed with eosinophilic gastroenteritis The patient recovered after rehydration therapy After 9 months capsule endoscopy revealed no ulcers or edema In this report we describe the findings of capsule endoscopy and doubleballoon enteroscopy in a case of eosinophilic gastroenteritis
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