A Case of Eosinophilic Gastritis Mimicking Borrmann Type-4 Advanced Gastric Cancer
Journal of the Korean Gastric Cancer Association
;
: 47-51, 2005.
Artigo
em Coreano
| WPRIM
| ID: wpr-157358
ABSTRACT
Eosinophilic gastroenteritis is a rare clinicopathologic entity of unknown etiology with a variety of digestive symptoms. The pathogenesis is poorly understood. Diagnostic criteria include demonstration of eosinophilic infiltration of the affected bowel wall, lack of evidence of extraintestinal disease, and exclusion of various disorders that could mimic similar conditions. The disease might involve any area of the gastrointestinal tract from the esophagus to the rectum, but the stomach and the proximal small bowel are most commonly affected. The clinical features depend on which layer and site are involved. We report the case of a 59-year-old male patient with a 3-week history of post-prandial vomiting with malnutrition and weight loss. An abdominopelvic CT showed a gastric outlet obstruction with diffuse wall thickening, as with linitis plastica. Three gastrofiberscopic biopsies showed chronic gastritis. We carried out a radical total gastrectomy with D2 lymph node dissection. The pathologic report revealed a mural type eosinophilic gastritis with a marked hypertrophic scar formation at the proper muscle layer. We report this case with a brief review of the literature.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Reto
/
Estômago
/
Neoplasias Gástricas
/
Vômito
/
Biópsia
/
Redução de Peso
/
Obstrução da Saída Gástrica
/
Cicatriz Hipertrófica
/
Trato Gastrointestinal
/
Desnutrição
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Gastric Cancer Association
Ano de publicação:
2005
Tipo de documento:
Artigo
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