Eosinophilic Gastroenteritis Associated with Perforation and Ulceration of the Ileum, Report of a Case Masaya Tominaga 1 1Division of Internal medicine, Fukuoka Red Cross Hospital Keyword: 好酸球性胃腸炎 , 穿孔 , 潰瘍形成 , 再発 pp.703-710
Published Date 1993/6/25
DOI https://doi.org/10.11477/mf.1403106196
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 A 50-year-old man was admitted to our hospital with complaints of lower abdominal pain, loss of appetite and general malaise. He underwent ileal resection due to perforation at the age of 47 at another hospital. Laboratory data at admission disclosed mild leucocytosis and eosinophilia. Radiographic examination of the small intestine demonstrated a luminal narrowing (approximately 10 cm in length), edematous folds and proximal dilatation in the distal ileum. Endoscopic examination of the ileum showed a solitary round ulcer on edematous and tortuous mucosal folds. Biopsy specimens taken from the edge of the ulcer revealed marked edema and diffuse eosinophilic infiltration in the submucosal layer. Re-examination of the previously resected ileal specimen showed transmural infiltration of inflammatory cells, chiefly eosinophils. He was successfully treated with total parenteral nutrition only. Follow-up barium enema three weeks later showed the disappearance of edematous folds and the healing of an ulcer.

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