A Case of Steroid Dependent Eosinophilic Gastroenteritis Presenting as a Huge Gastric Ulcer
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
;
: 103-107, 2012.
Article
in English
| WPRIM
| ID: wpr-221404
ABSTRACT
Eosinophilic gastroenteritis is defined as primary eosinophilic infiltration of the gastrointestinal tract. Endoscopic findings of this disease entity are non-specific, and huge gastric ulceration as initial presentation is extremely rare. We experienced a case of eosinophilic gastroenteritis presenting with abdominal pain in a 38 year-old-woman. Deep and huge ulceration in gastric antrum and body looked like advanced gastric cancer. Surgical resection was performed and histopathological examination showed dense infiltration of eosinophil without malignant cells. 5 years after surgery, diffuse abdominal pain and generalized edema developed and computed tomography showed entire wall thickening of the gastrointestinal tract. Random mucosal biopsy of the remnant stomach and terminal ileum showed mucosal eosinophilic infiltrations. She was treated with steroids and azathioprine but experienced frequent relapses and was dependent on steroids to maintain remissions. After 3 years, she died from infective endocarditis due to the prolonged use of immunosuppressive agents.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pyloric Antrum
/
Recurrence
/
Steroids
/
Stomach Neoplasms
/
Stomach Ulcer
/
Azathioprine
/
Ulcer
/
Biopsy
/
Abdominal Pain
/
Gastric Stump
Language:
English
Journal:
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Year:
2012
Type:
Article
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