Eosinophilic Gastroenteritis, Report of a Case Tatsuya Kubo 1 , Tsutomu Yamamoto 1 , Tsuneyoshi Yao 2 1The First Department of Internal Medicine, School of Medicine, Fukuoka University 2Department of Gastroenterology, Chikushi Hospital, Fukuoka University pp.1171-1179
Published Date 1989/10/25
DOI https://doi.org/10.11477/mf.1403106593
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 A 20-year-old man was admitted to our hospital on December 9, 1982 with complaints of upper abdominal pain, nausea, vomiting and diarrhea. He had been operated on because of a lesion of the jejunum on September 3, 1981 with resultant histological diagnosis being eosinophilic gastroenteritis (Fig. 1). Examination of the blood disclosed 14,900 white blood cells with 59% eosinophils.

 Upper gastrointestinal series revealed narrowing of the gastric antrum and the second portion of the duodenum. Endoscopy showed edematous mucosa of the prepyloric area, and severe swelling and reddening of the Kerckring's folds in the second portion of the duodenum. Double contrast study of the small intestine demonstrated decreased distensibility in a longitudinal direction, and Kerckring's folds were dense in the upper portion. Double contrast study of the small intestine also showed narrowing of the lumen and Kerckring's folds were wide by edema in the middle to the lower portion (Figs. 5 and 6).

 Soft diet and intravenous hydration were effective in eliminating subjective symptoms. Oral prednisolone administration was also effective for eosinophilia. After discharge, he came again to our hospital with the same complaints. He was again treated with prednisolone and recovered rapidly.

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