A Case of Eosinophilic Gastroenteritis with Rapid Deterioration Mimicking Borrmann Type 4 Advanced Gastric Cancer.
10.7704/kjhugr.2015.15.4.264
- Author:
Ju Young LEE
1
;
In Sun MIN
;
Jung Un HONG
;
Tae Seob JUNG
;
Bo Bae PARK
;
In Young NHO
;
Sung Hwan KANG
Author Information
1. Department of Internal Medicine, Sungae Hospital, Seoul, Korea. kshwan0317@naver.com
- Publication Type:Case Report
- Keywords:
Eosinophilic gastroenteritis;
Borrmann type 4 advanced gastric cancer;
Thickened gastric wall
- MeSH:
Abdominal Pain;
Biopsy;
Diagnosis;
Duodenum;
Endoscopy, Digestive System;
Eosinophils*;
Gastrectomy;
Gastritis;
Gastroenteritis*;
Gastrointestinal Tract;
Humans;
Middle Aged;
Stomach;
Stomach Neoplasms*
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2015;15(4):264-269
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Eosinophilic gastroenteritis is an uncommon disease of unknown etiology that is characterized by massive tissue infiltration of eosinophils in the tissue layers of various areas of the gastrointestinal tract. An accurate diagnosis is difficult as clinical presentations, symptoms, endoscopic and radiologic findings are nonspecific. A 51-year-old man visited our hospital presenting with abdominal pain. Esophagogastroduodenoscopy revealed diffuse hyperemic mucosal lesions at the stomach, duodenum. Symptoms and endoscopic findings deteriorated rapidly after three days. Small amounts of eosinophilic infiltration without malignant cells was confirmed from biopsy. However, we could not exclude malignancy and performed a subtotal gastrectomy. Stomach specimen showed eosinophilic infiltrations, and the patient was finally diagnosed as eosinophilic gastroenteritis. We report a case of atypical eosinophilic gastritis with rapid deterioration mimicking Borrmann type 4 advanced gastric cancer.
