Hepatomegaly and Periportal Oedema of the Liver in a Patient with Eosinophilic Gastroenteritis
Malaysian Journal of Medical Sciences
;
: 86-89, 2013.
Article
in English
| WPRIM
| ID: wpr-628242
ABSTRACT
Periportal halos are an uncommon finding on computerised tomography (CT) of the liver. Here, reported a case of periportal halos and hepatomegaly in a patient with eosinophilic gastroenteritis. A 49-year-old male presented with a six week history of right lower quadrant pain and diarrhoea. A CT of the abdomen showed hepatomegaly and multiple hypodense periportal halos around the patent portal veins consistent with periportal oedema. A colonoscopy showed normal looking mucosa in the colon and terminal ileum. Blind biopsies taken throughout the terminal ileum and colon showed increased numbers of eosinophils (more than 25 per high-power field) consistent with eosinophilic gastroenteritis. A liver biopsy showed minimal non-specific chronic inflammatory infiltrates and eosinophils in the portal tracts with ductular proliferation. In conclusion, eosinophilic gastroenteritis should be considered in patients presenting with periportal halos, hepatomegaly, and diarrhoea.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Hepatomegaly
Language:
English
Journal:
Malaysian Journal of Medical Sciences
Year:
2013
Type:
Article
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