Journal of Okayama Medical Association
Published by Okayama Medical Association

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腹水貯留と広範囲な腸管壁の肥厚を伴う好酸球性胃腸炎の1例

Tachibana, Hiromi
Ogawa, Daisuke
Kahara, Kenji
Fujii, Souichiro
Hayakawa, Nobuhiko
Tsurumi, Tetsuya
Miyake, Takayoshi
Kunitomo, Tadayoshi
Okazaki, Morihiro
Thumnail 119_261.pdf 563 KB
Abstract
A 60-year-old woman was admitted to our hospital with abdominal pain and diarrhea. Examination revealed eosinophilia (white blood count, 24,900/ml; eosinophils, 79.9%) and an elevated immunoglobulin E level. Abdominal computed tomography showed fluid collection and diffuse intestinal wall thickening, and biopsy specimens from the stomach, duodenum and colon showed eosinophil infiltration. We diagnosed the patient with eosinophilic gastroenteritis, and started treatment with steroid hormones (predonisolone, 40 mg/day perorally). The patient's symptoms and eosinophilia improved dramatically and she was discharged. Eosinophilic gastroenteritis is an inflammatory disease characterized by eosinophil infiltration into the gastrointestinal tract. It usually involves the stomach and small intestine, but may also involve the entire whole gastrointestinal tract. Although ascites sometimes complicates this disease, massive ascites, as in our patient, is rare. Here we report a case of eosinophilic gastroenteritis with massive ascites and diffuse intestinal wall thickening. Steroid hormones are an effective treatment for this disease, and early diagnosis and the administration of steroid hormones are essential.
Keywords
好酸球性胃腸炎 (Eosinophilic gastroenteritis)
アレルギー (Allergy)
腹水 (Ascites)
ステロイドホルモン (Steroid hormone)
Note
症例報告
ISSN
00301558
NCID
AN00032489
DOI